Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 4301090925 | MI |
N | 207Q00000X | Family Doctor | A103222 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A103222 | CA |
NPI | 1316125198 |
---|---|
Provider Name | Dr. Heidi Nina Yeung |
First Address | Del Mar, CA 92014-3043 |
Second Address | San Diego, CA 92103-8216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2008 |
Last Update Date | 31/07/2013 |