Provider Demographics
NPI:1346227758
Name:YEH, ANDREW (DO)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:YEH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 W DUARTE RD
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9239
Mailing Address - Country:US
Mailing Address - Phone:626-821-9892
Mailing Address - Fax:626-821-0028
Practice Address - Street 1:612 W DUARTE RD
Practice Address - Street 2:SUITE 504
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9239
Practice Address - Country:US
Practice Address - Phone:626-821-9892
Practice Address - Fax:626-821-0028
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I23115Medicare UPIN
20A8178AMedicare ID - Type Unspecified