Individual
LUCILLE Y YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD STE 8215NT, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6637
Mailing address
8700 BEVERLY BLVD STE 8215NT, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036177039
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2018
Last updated
10/02/2025
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