Provider Demographics
NPI:1699792127
Name:YOHO, ROBERT ALAN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALAN
Last Name:YOHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:819 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-4152
Mailing Address - Country:US
Mailing Address - Phone:818-790-2650
Mailing Address - Fax:626-585-8887
Practice Address - Street 1:797 S ARROYO PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3234
Practice Address - Country:US
Practice Address - Phone:626-585-0800
Practice Address - Fax:626-585-8887
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC41114207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA37525Medicare UPIN