Provider Demographics
NPI:1679702401
Name:YEN, MORRIS (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:
Last Name:YEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23823 VALENCIA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2103
Mailing Address - Country:US
Mailing Address - Phone:661-253-4971
Mailing Address - Fax:661-253-4972
Practice Address - Street 1:23823 VALENCIA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2103
Practice Address - Country:US
Practice Address - Phone:661-253-4971
Practice Address - Fax:661-253-4972
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71137208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics