Provider Demographics
NPI:1902117666
Name:YEH FACIAL PLASTIC SURGERY, A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:YEH FACIAL PLASTIC SURGERY, A MEDICAL CORPORATION
Other - Org Name:YEH FACIAL PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:CHI-HONG
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-916-7066
Mailing Address - Street 1:24331 EL TORO RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2752
Mailing Address - Country:US
Mailing Address - Phone:949-916-7066
Mailing Address - Fax:949-916-7067
Practice Address - Street 1:24331 EL TORO RD
Practice Address - Street 2:SUITE 350
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2752
Practice Address - Country:US
Practice Address - Phone:949-916-7066
Practice Address - Fax:949-916-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106777207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty