| Tom Yi, D.o. Professional Corporation | |
|
127 N Madison Ave Ste 107 Pasadena CA 91101-1750 | |
| (626) 449-9800 | |
| (626) 449-3939 |
| Full Name | Tom Yi, D.o. Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 127 N Madison Ave Ste 107, Pasadena, California |
| Authorized Official Name and Position | Tom Yi (PRESIDENT) |
| Authorized Official Contact | 6264499800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Yi, D.o. Professional Corporation 127 N Madison Ave Ste 107 Pasadena CA 91101-1750 Ph: (626) 449-9800 | Tom Yi, D.o. Professional Corporation 127 N Madison Ave Ste 107 Pasadena CA 91101-1750 Ph: (626) 449-9800 |
| NPI Number | 1508970245 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204933302 |
|---|---|
| Medicare Enrollment ID | O20070524000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970245 | NPI | - | NPPES |
| 1336198514 | Other | NPI UNDER SOCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tom Y Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336198514 PECOS PAC ID: 5092762120 Enrollment ID: I20050331001120 |
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