| Edmund Yao Md Inc | |
|
3031 W March Ln Ste 101 Stockton CA 95219-6568 | |
| (209) 472-7100 | |
| (209) 472-7108 |
| Full Name | Edmund Yao Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3031 W March Ln Ste 101, Stockton, California |
| Authorized Official Name and Position | Edmund C Yao (PRESIDENT) |
| Authorized Official Contact | 2096620224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund Yao Md Inc Po Box 691957 Stockton CA 95269-1957 Ph: (209) 662-0224 | Edmund Yao Md Inc 3031 W March Ln Ste 101 Stockton CA 95219-6568 Ph: (209) 472-7100 |
| NPI Number | 1285969139 |
|---|---|
| Provider Enumeration Date | 10/10/2009 |
| Last Update Date | 12/30/2019 |
| Medicare PECOS PAC ID | 9234272915 |
|---|---|
| Medicare Enrollment ID | O20100421000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285969139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A84312 (California) | Primary |
| Provider Name | Edmund Co Yao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245328004 PECOS PAC ID: 6406810720 Enrollment ID: I20041116001246 |
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