Individual
HENRY YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 E CHAPMAN AVE, ORANGE, CA 92869
(714) 771-8000
Mailing address
9610 GRANITE RIDGE DR, SUITE B, SAN DIEGO, CA 92123-2684
(858) 810-8000
(858) 268-1911
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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