Provider Demographics
NPI:1215360912
Name:YI, AMOS (PA-C)
Entity Type:Individual
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First Name:AMOS
Middle Name:
Last Name:YI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:11190 WARNER AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4019
Mailing Address - Country:US
Mailing Address - Phone:714-433-2000
Mailing Address - Fax:714-433-2901
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-433-2000
Practice Address - Fax:714-433-2901
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2021-10-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical