Organization
TIMOTHY YAO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C YAO M.D. (PRESIDENT)
(209) 576-3737
Entity
Organization
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4405
(209) 576-3737
Mailing address
PO BOX 1359, SAN CLEMENTE, CA 92674-1359
(949) 492-3514
(949) 366-2390
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G73286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G73286
MEDICAL LICENSE
CA
Enumeration date
12/06/2007
Last updated
12/06/2007
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