Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | A71925 | CA |
NPI | 1891992103 |
---|---|
Provider Name | Dr. Thomas Luen Yen |
First Address | Santa Cruz, CA 95065-1719 |
Second Address | Santa Cruz, CA 95065-1719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 08/10/2013 |