Provider Demographics
NPI:1689765703
Name:YEH, LEONA (PHD LAC QME)
Entity Type:Individual
Prefix:
First Name:LEONA
Middle Name:
Last Name:YEH
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Gender:F
Credentials:PHD LAC QME
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Mailing Address - Street 1:23451 MADISON STREET
Mailing Address - Street 2:SUITE # 320
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-373-0741
Mailing Address - Fax:310-373-0742
Practice Address - Street 1:23451 MADISON STREET
Practice Address - Street 2:SUITE # 320
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-373-0741
Practice Address - Fax:310-373-0742
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC980171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist