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Individual
HENRY YUAN
Active
Individual
HENRY YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A120403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A120403
CA LICENSE
CA
01
—
CA128112
NO CA MEDICARE PTAN
CA
01
—
CB219111
SO CA MEDICARE PTAN
CA
Enumeration date
08/20/2009
Last updated
05/23/2018
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