Organization
DR MALVIN YAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALVIN YEN YAN D.O. (PRESIDENT)
(562) 531-3800
Entity
Organization
Contact information
Practice address
16415 SOUTH COLORADO AVE, 410, PARAMOUNT, CA 90723-5035
(323) 562-3800
(562) 529-7600
Mailing address
16415 COLORADO AVE, 410, PARAMOUNT, CA 90723-5035
(323) 562-3800
(562) 529-7600
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A7810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225146061
—
CA
Enumeration date
08/29/2006
Last updated
12/12/2008
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