Individual
YEESHUN F MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 N HARBOR BLVD, SUITE 25000, FULLERTON, CA 92835-3827
(714) 626-8610
(714) 626-8655
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A25052
CA
207RG0100X
Gastroenterology Physician
Primary
A25052
CA
Other
Enumeration date
09/21/2005
Last updated
04/25/2013
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