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Organization
JIE SHI YAN MD INC
Active
Organization
JIE SHI YAN MD INC
Active
Other names
Gordy Health
Organization subpart
No
Provider details
NPI number
Authorized official
JIE SHI YAN (OWNER)
(888) 467-3910
Entity
Organization
Contact information
Practice address
680 E COLORADO BLVD STE 180, PASADENA, CA 91101-6144
(888) 467-3910
Mailing address
680 E COLORADO BLVD STE 180, PASADENA, CA 91101-6144
(888) 467-3910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/07/2022
Last updated
09/28/2022
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