Provider Demographics
NPI:1508970245
Name:TOM YI, D.O. PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:TOM YI, D.O. PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-449-9800
Mailing Address - Street 1:127 N MADISON AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1750
Mailing Address - Country:US
Mailing Address - Phone:626-449-9800
Mailing Address - Fax:626-449-3939
Practice Address - Street 1:127 N MADISON AVE STE 107
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1750
Practice Address - Country:US
Practice Address - Phone:626-449-9800
Practice Address - Fax:626-449-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336198514OtherNPI UNDER SOCIAL
1336198514OtherNPI UNDER SOCIAL