Provider Demographics
NPI:1972534634
Name:YUEN, DANA K (MD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:K
Last Name:YUEN
Suffix:
Gender:F
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:PO BOX 1886
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-8886
Mailing Address - Country:US
Mailing Address - Phone:626-308-1559
Mailing Address - Fax:626-308-1932
Practice Address - Street 1:201 N CHANDLER AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1503
Practice Address - Country:US
Practice Address - Phone:626-308-1559
Practice Address - Fax:626-308-1932
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53099207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG53099AMedicare PIN
CAA93189Medicare UPIN
CAG53099Medicare ID - Type Unspecified