Nance Yuan, MD, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NANCE YUAN, MD, INC.

Practice address

435 Arden Ave Ste 530
Glendale, CA 91203-1140

Phone

(626) 888-1202

NPI assigned

Apr 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nance Yuan, MD

Title

Ceo

Phone

(415) 793-7368

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1619610854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50331",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900500203",
            "telephone_number": "415-793-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 530",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031140",
            "telephone_number": "626-888-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCE YUAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "NANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-793-7368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689017667",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "435 Arden Ave Ste 530",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912031140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Plastic Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.