Organization
ZHENGHONG YUAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHENGHONG YUAN (PRESIDENT)
(626) 289-9978
Entity
Organization
Contact information
Practice address
360 E LAS TUNAS DR STE 201, SAN GABRIEL, CA 91776-1502
(626) 289-9978
(626) 289-3978
Mailing address
360 E LAS TUNAS DR STE 201, SAN GABRIEL, CA 91776-1502
(626) 289-9978
(626) 289-3978
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
A111673
CA
261QP2000X
Physical Therapy Clinic/Center
A111673
CA
261QP2300X
Primary Care Clinic/Center
Primary
A111673
CA
261QP3300X
Pain Clinic/Center
A111673
CA
261QU0200X
Urgent Care Clinic/Center
A111673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL329A
MEDICARE PTAN
—
Enumeration date
09/14/2010
Last updated
04/09/2019
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