Provider Demographics
NPI:1780875625
Name:YIN-VUI YONG MD INC.
Entity type:Organization
Organization Name:YIN-VUI YONG MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YIN-VUI
Authorized Official - Middle Name:
Authorized Official - Last Name:YONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-275-2777
Mailing Address - Street 1:1675 MORENA BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-3703
Mailing Address - Country:US
Mailing Address - Phone:619-275-2777
Mailing Address - Fax:619-275-2772
Practice Address - Street 1:1675 MORENA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-3703
Practice Address - Country:US
Practice Address - Phone:619-275-2777
Practice Address - Fax:619-275-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33569208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A335690Medicaid
CA00A335690Medicaid