Shao Hua Ye Md Inc | |
416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 | |
(626) 888-1951 | |
(626) 701-5032 |
Full Name | Shao Hua Ye Md Inc |
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Speciality | Psychiatry & Neurology |
Location | 416 W Las Tunas Dr, San Gabriel, California |
Authorized Official Name and Position | Shao Hua Ye (OWNER) |
Authorized Official Contact | 6268881951 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shao Hua Ye Md Inc 416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 Ph: (626) 888-1951 | Shao Hua Ye Md Inc 416 W Las Tunas Dr Ste 205 San Gabriel CA 91776-1236 Ph: (626) 888-1951 |
NPI Number | 1023418076 |
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Provider Enumeration Date | 08/27/2014 |
Last Update Date | 08/27/2014 |
Medicare PECOS PAC ID | 5991925281 |
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Medicare Enrollment ID | O20141009000367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023418076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A110344 (California) | Primary |
Provider Name | Shao Hua Ye |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578743118 PECOS PAC ID: 1355515586 Enrollment ID: I20111123000705 |
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