Provider Demographics
NPI:1437269313
Name:YEN, MICHAEL HSI-MING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HSI-MING
Last Name:YEN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1669 DOMINICAN WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1523
Mailing Address - Country:US
Mailing Address - Phone:831-475-2220
Mailing Address - Fax:831-475-2221
Practice Address - Street 1:1669 DOMINICAN WAY
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1523
Practice Address - Country:US
Practice Address - Phone:831-475-2220
Practice Address - Fax:831-475-2221
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82461207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82461OtherSTATE MEDICAL LICENSE