Provider Demographics
NPI:1447310305
Name:PATRICK C. YEH, M.D., INC.
Entity type:Organization
Organization Name:PATRICK C. YEH, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:CHI-HUANG
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-375-2789
Mailing Address - Street 1:3655 LOMITA BLVD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-1914
Mailing Address - Country:US
Mailing Address - Phone:310-375-2789
Mailing Address - Fax:310-375-2785
Practice Address - Street 1:3655 LOMITA BLVD
Practice Address - Street 2:SUITE 315
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-1914
Practice Address - Country:US
Practice Address - Phone:310-375-2789
Practice Address - Fax:310-375-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77864207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19031Medicare ID - Type Unspecified
CAH60746Medicare UPIN