Provider Demographics
NPI:1588678833
Name:YAO, DIANA K (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:K
Last Name:YAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3833 WORSHAM AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1766
Mailing Address - Country:US
Mailing Address - Phone:562-595-5421
Mailing Address - Fax:562-426-2826
Practice Address - Street 1:3833 WORSHAM AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1766
Practice Address - Country:US
Practice Address - Phone:562-595-5421
Practice Address - Fax:562-426-2826
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG73884174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0058960Medicaid
CAGR0058960Medicaid
CAWG73884BMedicare PIN