Provider Demographics
NPI:1407057318
Name:YEH, VIVIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:
Last Name:YEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1845 N. FAIR OAKS AVENUE
Mailing Address - Street 2:#G-151
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103
Mailing Address - Country:US
Mailing Address - Phone:626-744-6140
Mailing Address - Fax:626-744-6148
Practice Address - Street 1:1845 N FAIR OAKS AVE
Practice Address - Street 2:SUITE G-151
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1620
Practice Address - Country:US
Practice Address - Phone:626-744-6140
Practice Address - Fax:626-744-6148
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2015-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG68468207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF69762Medicare UPIN