| Yen Doan Md., Inc. | |
|
1663 Beverly Blvd Ste 201 Los Angeles CA 90026-5747 | |
| (818) 413-4845 | |
| Not Available |
| Full Name | Yen Doan Md., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1663 Beverly Blvd Ste 201, Los Angeles, California |
| Authorized Official Name and Position | Yen Doan (CEO) |
| Authorized Official Contact | 2134134845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yen Doan Md., Inc. 1663 Beverly Blvd Ste 201 Los Angeles CA 90026-5747 Ph: (818) 413-4845 | Yen Doan Md., Inc. 1663 Beverly Blvd Ste 201 Los Angeles CA 90026-5747 Ph: (818) 413-4845 |
| NPI Number | 1861587172 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 03/18/2011 |
| Medicare PECOS PAC ID | 9830197938 |
|---|---|
| Medicare Enrollment ID | O20061128000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861587172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A40613 (California) | Primary |
| Provider Name | Yen Doan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295767010 PECOS PAC ID: 4486652583 Enrollment ID: I20061128000537 |
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