Provider Demographics
NPI:1386007235
Name:YEO, JOEL
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:YEO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7134 LISA LN
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-2268
Mailing Address - Country:US
Mailing Address - Phone:909-210-5031
Mailing Address - Fax:
Practice Address - Street 1:7134 LISA LN
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-2268
Practice Address - Country:US
Practice Address - Phone:909-210-5031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies