Provider Demographics
NPI:1942086244
Name:CHRISTOPHER YI MD A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTOPHER YI MD A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:VITAL VEIN AND VASCULAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-857-8287
Mailing Address - Street 1:13731 TYPEE WAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3273
Mailing Address - Country:US
Mailing Address - Phone:310-857-8287
Mailing Address - Fax:
Practice Address - Street 1:18111 BROOKHURST SUITE 5600
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708
Practice Address - Country:US
Practice Address - Phone:310-857-8287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty