Doctor Name: | DR. KEITH YUEN |
NPI Number: | 1003234022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E3286 |
Business Practice Address: | 1417 Beech St South Pasadena, CA - 910304601 |
Business Phone Number: | 6267999684 |
Business Fax Number: | 6267999684 |
Mailing Address: | 1417 Beech St, SOUTH PASADENA |
State: | CA |
Postal Code: | 910304601 |
Phone Number: | 6267999684 |
Fax Number: | 6267999684 |
NPI Enumeration Date: | 04/07/2014 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | E3286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |