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Individual

HELEN H. YEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
207 W LEGION RD, DEPT OF PATHOLOGY, BRAWLEY, CA 92227-7780
(760) 351-3432
(760) 351-3702
Mailing address
2219 W OLIVE AVE, #219, BURBANK, CA 91506-2625
(760) 351-3432
(760) 351-3702

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A55832
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A558320
CA
01
A55832
STATE LICENSE #
CA
01
AX995Y
MEDICARE PTAN
05
LAB44024F
CA
01
ZZZ58613Z
MEDICARE GROUP PTAN
Enumeration date
07/19/2006
Last updated
10/09/2014
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