Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | A103769 | CA |
N | 207P00000X | Emergency Physician | 036-109565 | IL |
N | 207Q00000X | Family Doctor | 036-109565 | IL |
NPI | 1528076742 |
---|---|
Provider Name | Chia C Yeh-To |
First Address | Los Angeles, CA 90189-4830 |
Second Address | Fresno, CA 93710-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 13/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008232086 | BLUECROSS BLUESHIELD (01) | IL |
036109565 | (05) | IL |
08232205 | BLUE CROSS BLUE SHIELD (01) | IL |
H96659 | (02) |