Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | G81650 | CA |
NPI | 1275591463 |
---|---|
Provider Name | Dr. Timothy G Yeh |
First Address | Fullerton, CA 92838-0256 |
Second Address | Anaheim, CA 92801-1830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 16/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H11016 | (02) | CA |