Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 254938 | NY |
N | 111NI0900X | Internist | 254938 | NY |
N | 207R00000X | Internist | A107260 | CA |
N | 111NI0900X | Internist | A107260 | CA |
N | 207RH0003X | Hematology & Oncology | 254938 | NY |
Y | 207RX0202X | Medical Oncology | A107260 | CA |
NPI | 1073664660 |
---|---|
Provider Name | Dr. Yuan Yuan |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 25/11/2020 |