Individual
YAO DER SHIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2740 N GAREY AVE, POMONA, CA 91767-1800
(909) 623-2300
Mailing address
3 BEECHWOOD, IRVINE, CA 92604-4691
(949) 784-9379
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
61460
CA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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