Provider Demographics
NPI:1184351538
Name:PYO FAMILY CLINIC INC
Entity type:Organization
Organization Name:PYO FAMILY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:CHANG
Authorized Official - Last Name:PYO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:657-799-0993
Mailing Address - Street 1:2000 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-4103
Mailing Address - Country:US
Mailing Address - Phone:909-802-0015
Mailing Address - Fax:
Practice Address - Street 1:2000 E CHAPMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-4103
Practice Address - Country:US
Practice Address - Phone:909-802-0015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty