Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 273987 | NY |
NPI | 1659514719 |
---|---|
Provider Name | Dr. Randy Yeh I |
First Address | Los Angeles, CA 90025-2645 |
Second Address | Sylmar, CA 91342-1437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2009 |
Last Update Date | 22/03/2018 |