# TIMOTHY YAO, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083897532
- **Authorized official:** TIMOTHY C YAO M.D. (PRESIDENT)
- **Authorized official phone:** (209) 576-3737

## Contact information

- **Practice address:** 1441 FLORIDA AVE, MODESTO, CA 95350-4405
- **Practice address phone:** (209) 576-3737
- **Mailing address:** PO BOX 1359, SAN CLEMENTE, CA 92674-1359
- **Mailing address phone:** (949) 492-3514
- **Mailing address fax:** (949) 366-2390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | G73286 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 12/06/2007