05D0726051 CLIA NUMBER - YEN DOAN MD

Laboratory Demographics

CLIA Number: 05D0726051

Facility Name: YEN DOAN MD

Facility Address:
1663 BEVERLY BLVD 201
LOS ANGELES, CA
ZIP 90026
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Facility Phone Number: 213 413-4845

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295767010

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D0726051
LAB Type	Physician Office
Facility Name	YEN DOAN MD
Street	1663 BEVERLY BLVD 201
City	LOS ANGELES
State	CA
ZIP	90026
Phone	213 413-4845
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024