Individual
WARREN TIMOTHY YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5750 DOWNEY AVE, STE 308, LAKEWOOD, CA 90712-1482
(562) 633-3787
(562) 633-1977
Mailing address
PO BOX 15848, NEWPORT BEACH, CA 92659-5848
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA64388
CA
Other
Enumeration date
01/23/2023
Last updated
08/07/2024
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