Provider Demographics
NPI:1346415130
Name:WAI F. YEUNG, M.D., INC
Entity Type:Organization
Organization Name:WAI F. YEUNG, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAI
Authorized Official - Middle Name:F
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-254-5606
Mailing Address - Street 1:12 CAMINO ENCINAS
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3395
Mailing Address - Country:US
Mailing Address - Phone:925-254-5606
Mailing Address - Fax:925-254-5810
Practice Address - Street 1:12 CAMINO ENCINAS
Practice Address - Street 2:SUITE 6
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3395
Practice Address - Country:US
Practice Address - Phone:925-254-5606
Practice Address - Fax:925-254-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26347207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42984Medicare UPIN