Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A157976 | CA |
Y | 208600000X | Surgeon | A157976 | CA |
NPI | 1013448554 |
---|---|
Provider Name | Dr. Eric Owen Yeates |
First Address | Orange, CA 92868-3201 |
Second Address | Orange, CA 92868-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 25/09/2020 |