Individual
SHOUNAN YAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 W LAS TUNAS DR # 202, SAN GABRIEL, CA 91776-1133
(626) 284-2000
(626) 284-4300
Mailing address
533 W LAS TUNAS DR # 202, SAN GABRIEL, CA 91776-1133
(626) 284-2000
(626) 284-4300
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A83484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000290957
ANTHEM
OH
01
—
00A83484A
MEDI-CAL
CA
01
—
1001188
UHC
OH
01
—
2130422
FIRST HEALTH
OH
05
—
2411241
—
OH
01
—
287922561001
MEDICAL MUTUAL
OH
Enumeration date
07/13/2005
Last updated
10/08/2025
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