Provider Demographics
NPI:1205219433
Name:TENG, YO-LIANG (MD FRCPC)
Entity Type:Individual
Prefix:
First Name:YO-LIANG
Middle Name:
Last Name:TENG
Suffix:
Gender:M
Credentials:MD FRCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 49938
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-0938
Mailing Address - Country:US
Mailing Address - Phone:415-857-5697
Mailing Address - Fax:
Practice Address - Street 1:8407 112 AVENUE
Practice Address - Street 2:
Practice Address - City:FORT ST JOHN
Practice Address - State:BC
Practice Address - Zip Code:V1J 2A4
Practice Address - Country:CA
Practice Address - Phone:415-857-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2018-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148783207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine