Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A45995 | CA |
N | 111NI0900X | Internist | A45995 | CA |
Y | 207RX0202X | Medical Oncology | A45995 | CA |
NPI | 1003827486 |
---|---|
Provider Name | Mr. Yun Yen |
First Address | Monrovia, CA 91016-4066 |
Second Address | Duarte, CA 91010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 25/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A459950 | (05) | CA |
F59574 | (02) |