KATHLEEN LIN YUAN (NPI# 1295096170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295096170 |
| Entity Type | Individual |
| Full Name | KATHLEEN LIN YUAN |
| Credential | PA-C |
| Practice Address |
3650 South St Ste 210 Lakewood CA 90712-1527 |
| Mailing Address |
5007 Hanover Cir Cypress CA 90630-3652 |
| Practice Telephone | 5626300910 |
| Practice Fax Number | 5626304877 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21698 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3650 SOUTH ST STE 210 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1891394334 | Robert Clower | Physician Assistant | 285 Zang St Apt I2832, Lakewood, CO 80228-1032 | 2020-10-24 |
| 1639778277 | Lindsay Marie Schulz Mustard | Physician Assistant | 7293 W Kentucky Dr Apt B, Lakewood, CO 80226-4920 | 2020-10-24 |
| 1316552946 | Madelynn Lea Fretto | Physician Assistant | 101 Prospect St Ste 107, Lakewood, NJ 08701-5003 | 2020-09-10 |
| 1467075309 | Allison Mckinney | Physician Assistant | 1471 Newman Ave, Lakewood, OH 44107-5117 | 2020-05-27 |
| 1598392466 | Pauline Imelda Salguero | Physician Assistant | 4202 Maybank Ave, Lakewood, CA 90712-3910 | 2020-03-23 |
| 1033745096 | Kelsey Taylor Horton | Physician Assistant | 939 S Johnson Way, Lakewood, CO 80226-4043 | 2020-03-20 |
| 1700425154 | Mary Beth Jacobson | Physician Assistant | 2192 Lewis Dr, Lakewood, OH 44107-6141 | 2020-01-02 |
| 1023651908 | Molly Mclean | Physician Assistant | 7700 W Virginia Ave Unit B, Lakewood, CO 80226-3144 | 2019-10-23 |
| 1831743889 | Dov Berish Zeitman | Physician Assistant | 30 Serenity Way, Lakewood, NJ 08701-4060 | 2019-07-29 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.