Individual
YAN S. ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
56994 FILE NUMBER, LOS ANGELES, CA 90074-6994
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A80975
CA
207RG0100X
Gastroenterology Physician
Primary
A80975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A809750
—
CA
Enumeration date
04/26/2007
Last updated
04/01/2025
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