Provider Demographics
NPI:1548247943
Name:ANDREW YEH DO INC
Entity type:Organization
Organization Name:ANDREW YEH DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:YEH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-821-9892
Mailing Address - Street 1:612 W. DUARTE RD
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9239
Mailing Address - Country:US
Mailing Address - Phone:626-821-9892
Mailing Address - Fax:626-821-0028
Practice Address - Street 1:612 W DUARTE RD
Practice Address - Street 2:SUITE 504
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9239
Practice Address - Country:US
Practice Address - Phone:626-821-9892
Practice Address - Fax:626-821-0028
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANDREW YEH DO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-27
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8178207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W18266Medicare ID - Type Unspecified