Individual
YONG TAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
19951 MARINER AVE., SUITE 150, TORRANCE, CA 90503
(310) 225-3120
(310) 698-7054
Mailing address
19951 MARINER AVE., SUITE 155, TORRANCE, CA 90503
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A87920
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A87920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A879200
—
CA
Enumeration date
06/22/2006
Last updated
10/18/2007
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