Provider Demographics
NPI:1013000868
Name:YUEN-GREEN, MONITA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONITA
Middle Name:
Last Name:YUEN-GREEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MONITA
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4322 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3004
Mailing Address - Country:US
Mailing Address - Phone:415-221-3200
Mailing Address - Fax:415-491-1411
Practice Address - Street 1:4322 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3004
Practice Address - Country:US
Practice Address - Phone:415-221-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF71703Medicare UPIN
CA00A500150Medicare ID - Type Unspecified