| Greg Shih-han Yen Medical Corp | |
|
1522 S Garfield Ave Ste A Alhambra CA 91801-5070 | |
| (626) 576-8500 | |
| (626) 576-8050 |
| Full Name | Greg Shih-han Yen Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1522 S Garfield Ave, Alhambra, California |
| Authorized Official Name and Position | Greg Shih-han Yen (CEO) |
| Authorized Official Contact | 6265768500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Shih-han Yen Medical Corp 1522 S Garfield Ave Ste A Alhambra CA 91801-5070 Ph: (626) 576-8500 | Greg Shih-han Yen Medical Corp 1522 S Garfield Ave Ste A Alhambra CA 91801-5070 Ph: (626) 576-8500 |
| NPI Number | 1265864185 |
|---|---|
| Provider Enumeration Date | 08/01/2013 |
| Last Update Date | 08/01/2013 |
| Medicare PECOS PAC ID | 1355572298 |
|---|---|
| Medicare Enrollment ID | O20140318001718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265864185 | NPI | - | NPPES |
| 00A612100 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A61210 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A61210 (California) | Primary |
| Provider Name | Greg S Yen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093739021 PECOS PAC ID: 6204727225 Enrollment ID: I20040322000142 |
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