Organization
NANCE YUAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCE YUAN MD (CEO)
(415) 793-7368
Entity
Organization
Contact information
Practice address
435 ARDEN AVE STE 530, GLENDALE, CA 91203-1140
(626) 888-1202
Mailing address
PO BOX 50331, LOS ANGELES, CA 90050-0203
(415) 793-7368
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689017667
—
CA
Enumeration date
04/15/2022
Last updated
04/15/2022
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