Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | D7557 | CA |
NPI | 1508827478 |
---|---|
Provider Name | Wei-Yuhg Yih |
First Address | Van Nuys, CA 91410-0076 |
Second Address | Portland, OR 97239-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 16/11/2009 |