NPIMap

Organization Active NPI

Dr. Malvin Yan Inc.

  • Clinic/Center
  • Lynwood, CA
National Provider Identifier
1417260241
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
20A7810 Issued in CA
Legal business name
DR. MALVIN YAN INC.
Practice address
3625 Martin Luther King Jr Blvd
Suite 4
Lynwood, CA 90262-3509
Phone
(310) 886-0869
Fax
(310) 886-0870
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Malvin Yan, D.O.
Title
Owner
Phone
(310) 430-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 20A7810 CA Primary

Addresses

Primary practice location

3625 Martin Luther King Jr Blvd
Suite 4
Lynwood, CA 90262-3509

Mailing address

3625 Martin Luther King Jr Blvd
Suite 4
Lynwood, CA 90262-3509
Phone (310) 886-0869

National Provider Directory

National Provider Directory
Tax ID family
Dr Malvin Yan Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1417260241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 4",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-886-0869",
            "fax_number": "310-886-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 4",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-886-0869",
            "fax_number": "310-886-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MALVIN YAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "MALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-430-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "20A7810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.