Provider Demographics
NPI:1861601999
Name:YEH, CORY CHI-HONG (MD)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:CHI-HONG
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA106777207YX0905X
MA217680207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARB8425Medicare PIN