Provider Demographics
NPI:1730184755
Name:YEN, MING-YI (MD)
Entity type:Individual
Prefix:DR
First Name:MING-YI
Middle Name:
Last Name:YEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16415 COLORADO AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5053
Mailing Address - Country:US
Mailing Address - Phone:562-633-2512
Mailing Address - Fax:562-633-0300
Practice Address - Street 1:16415 COLORADO AVE
Practice Address - Street 2:STE 301
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5053
Practice Address - Country:US
Practice Address - Phone:562-633-2512
Practice Address - Fax:562-633-0300
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35926207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A359260Medicaid
CAA35926Medicare ID - Type Unspecified
CA00A359260Medicaid