Provider Demographics
NPI:1427330372
Name:YEO, LAY CHOO
Entity type:Individual
Prefix:MS
First Name:LAY
Middle Name:CHOO
Last Name:YEO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5762 RAVENSPUR DR
Mailing Address - Street 2:#307
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3570
Mailing Address - Country:US
Mailing Address - Phone:626-383-9306
Mailing Address - Fax:
Practice Address - Street 1:4142 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5714
Practice Address - Country:US
Practice Address - Phone:310-375-9019
Practice Address - Fax:310-375-9046
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 47014183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist