Provider Demographics
NPI:1275412736
Name:KEVIN YAO MD INC
Entity type:Organization
Organization Name:KEVIN YAO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:626-372-3557
Mailing Address - Street 1:533 W LAS TUNAS DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1133
Mailing Address - Country:US
Mailing Address - Phone:626-372-3557
Mailing Address - Fax:
Practice Address - Street 1:533 W LAS TUNAS DR UNIT 201
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1133
Practice Address - Country:US
Practice Address - Phone:626-372-3557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEVIN YAO MD INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty