Provider Demographics
NPI:1972824555
Name:YEN, KAICHENG LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAICHENG
Middle Name:LAWRENCE
Last Name:YEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2521 STOCKTON BLVD
Mailing Address - Street 2:SUITE 7200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2207
Mailing Address - Country:US
Mailing Address - Phone:916-734-2801
Mailing Address - Fax:916-703-5011
Practice Address - Street 1:2521 STOCKTON BLVD
Practice Address - Street 2:SUITE 7200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2207
Practice Address - Country:US
Practice Address - Phone:916-734-2801
Practice Address - Fax:916-703-5011
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAF5607207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery