Provider Demographics
NPI:1740290329
Name:GREEN-YEH, ROBBIN (DO)
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:
Last Name:GREEN-YEH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 EAST 31ST STREET
Mailing Address - Street 2:OAKCARE MEDICAL GROUP
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602
Mailing Address - Country:US
Mailing Address - Phone:510-346-1468
Mailing Address - Fax:510-895-7286
Practice Address - Street 1:501 S SHORE CTR W STE 103F
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5762
Practice Address - Country:US
Practice Address - Phone:510-814-4630
Practice Address - Fax:510-814-4644
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6757207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX67570Medicaid
G53461Medicare UPIN
CA020A67570Medicare ID - Type Unspecified