Provider Demographics
NPI:1679683817
Name:YUZON, MA.CORAZON E (MD)
Entity Type:Individual
Prefix:
First Name:MA.CORAZON
Middle Name:E
Last Name:YUZON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:YUZON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1430 TRUXTUN AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5246
Mailing Address - Country:US
Mailing Address - Phone:661-635-3050
Mailing Address - Fax:661-869-1503
Practice Address - Street 1:1430 TRUXTUN AVE FL 4
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5246
Practice Address - Country:US
Practice Address - Phone:661-635-3050
Practice Address - Fax:661-869-1503
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53291208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics