Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A98761 | CA |
N | 111NI0900X | Internist | A98761 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A98761 | CA |
NPI | 1093996720 |
---|---|
Provider Name | Dr. Peter Yuan |
First Address | Arcadia, CA 91006-2137 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2007 |
Last Update Date | 15/12/2021 |