Provider Demographics
NPI:1144204637
Name:YEO, ELVIN KEE-EAN (MD)
Entity type:Individual
Prefix:
First Name:ELVIN
Middle Name:KEE-EAN
Last Name:YEO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 BROCKTON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2614
Mailing Address - Country:US
Mailing Address - Phone:951-782-3855
Mailing Address - Fax:951-328-2605
Practice Address - Street 1:7160 BROCKTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3912
Practice Address - Country:US
Practice Address - Phone:951-782-3855
Practice Address - Fax:951-328-2605
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37439207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1730180415OtherGROUP PTAN
CA1730180415OtherGROUP PTAN
00G374390Medicare ID - Type Unspecified