| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Medicare PECOS PAC ID | 5991925281 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578743118 PECOS PAC ID: 1355515586 Enrollment ID: I20111123000705 |
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