Provider Demographics
NPI:1578757829
Name:SHIEH, KATE YANG (MD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:YANG
Last Name:SHIEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CORSON ST APT 431
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3864
Mailing Address - Country:US
Mailing Address - Phone:323-481-1899
Mailing Address - Fax:626-844-0554
Practice Address - Street 1:1510 SAN PABLO ST STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5392
Practice Address - Country:US
Practice Address - Phone:323-442-5900
Practice Address - Fax:323-442-5714
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine