Provider Demographics
NPI:1912941824
Name:YAM, VING (DO)
Entity type:Individual
Prefix:DR
First Name:VING
Middle Name:
Last Name:YAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:935 E PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3425
Mailing Address - Country:US
Mailing Address - Phone:760-747-7512
Mailing Address - Fax:760-747-1253
Practice Address - Street 1:701 E GRAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4466
Practice Address - Country:US
Practice Address - Phone:760-294-8898
Practice Address - Fax:760-294-8827
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8738207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A8738OtherOSTEOPATHIC MEDICAL BOARD
CA20A8738OtherOSTEOPATHIC MEDICAL BOARD
CA20A8738OtherOSTEOPATHIC MEDICAL BOARD