| Richard Yen Md Llc | |
|
5790 Magnolia Ave Suite 201 Riverside CA 92506-1874 | |
| (951) 784-6622 | |
| (951) 784-6635 |
| Full Name | Richard Yen Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5790 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Steve S Wildish (MANAGER) |
| Authorized Official Contact | 9517846622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Yen Md Llc 5790 Magnolia Ave Suite 201 Riverside CA 92506-1874 Ph: (951) 784-6622 | Richard Yen Md Llc 5790 Magnolia Ave Suite 201 Riverside CA 92506-1874 Ph: (951) 784-6622 |
| NPI Number | 1467708339 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 07/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467708339 | NPI | - | NPPES |
| G57668 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G57668 (California) | Primary |
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