Individual
DAVID J YEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMD
Contact information
Practice address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 704-0889
(805) 548-1994
Mailing address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 704-0889
(805) 548-1994
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20326
MS
207T00000X
Neurological Surgery Physician
M-2439
GU
207T00000X
Neurological Surgery Physician
MD40688
TN
207T00000X
Neurological Surgery Physician
R5058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05780015
—
MS
05
—
1466468
—
LA
01
—
4115908
BCBS
TN
01
—
7865604
AETNA
MS
01
—
P00691498
RAILROAD MEDICARE
MS
01
—
TN01X7
JOHN DEERE
TN
Enumeration date
04/22/2006
Last updated
08/08/2024
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