Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A98436 | CA |
N | 2080P0201X | Pediatric Allergist | A98436 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | A98436 | CA |
NPI | 1447464375 |
---|---|
Provider Name | Eric Yen |
First Address | Los Angeles, CA 90095-3075 |
Second Address | Los Angeles, CA 90095-3075 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 29/06/2019 |