Individual
TARA YUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(951) 364-1400
Mailing address
555 N EL CAMINO REAL # A389, SAN CLEMENTE, CA 92672-9920
(949) 612-2727
(949) 612-2727
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
A78072
CA
2084P0800X
Psychiatry Physician
000000A78072
CA
Other
Enumeration date
10/21/2006
Last updated
08/15/2022
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