Individual
CHARLES ALAN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 549-7090
(209) 549-7099
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 549-7090
(209) 549-7099
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G40898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ73209Z
—
CA
Enumeration date
05/18/2006
Last updated
01/26/2012
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