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Organization
RICHARD YEN MD LLC
Active
Organization
RICHARD YEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE S WILDISH (MANAGER)
(951) 784-6622
Entity
Organization
Contact information
Practice address
5790 MAGNOLIA AVE, SUITE 201, RIVERSIDE, CA 92506-1874
(951) 784-6622
(951) 784-6635
Mailing address
5790 MAGNOLIA AVE, SUITE 201, RIVERSIDE, CA 92506-1874
(951) 784-6622
(951) 784-6635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G57668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G57668
STATE LICENSE
CA
Enumeration date
07/30/2012
Last updated
07/30/2012
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