Provider Demographics
NPI:1164476511
Name:LAN, YUHUAN FRANK (MD)
Entity type:Individual
Prefix:
First Name:YUHUAN
Middle Name:FRANK
Last Name:LAN
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 1:723 S GARFIELD AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4426
Mailing Address - Country:US
Mailing Address - Phone:626-570-0019
Mailing Address - Fax:626-570-0029
Practice Address - Street 1:723 S GARFIELD AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4426
Practice Address - Country:US
Practice Address - Phone:626-570-0019
Practice Address - Fax:626-570-0029
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78928208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G789282Medicaid
CA00G789281Medicaid
CAG78928AMedicare PIN
CAG78928CMedicare ID - Type UnspecifiedMEDICARE PROVIDER ID NO.