IVAN L YUE


Address: 38400 Bob Wilson Drive, San Diego, CA 92134-5000
Phone: 7143621148

IVAN L YUE (NPI# 1316568140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316568140
Entity Type Individual
Full Name IVAN L YUE
Credential MD
Practice Address 38400 Bob Wilson Drive
San Diego
CA 92134-5000
Practice Telephone 7143621148
Mailing Telephone 7143621148
Enumeration Date 2020-05-04
Last Update Date 2020-05-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Office Location

Street Address 38400 BOB WILSON DRIVE
City SAN DIEGO
State CA
Zip Code 92134-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780188680 Devon Drew Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2018-03-23
1396366084 Matthew Stein Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-05-04
1750902664 Bradley Powszok Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-05-01
1114551496 Rachael D Campbell Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-02-26
1730642414 Colin Mitchell Johnson Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-04-10
1376006965 Jade Jonee Lewis Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-10
1750841698 Glennie Leshen Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2019-03-25
1134688245 Brian William Schwarzkoph Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2019-03-18
1679078547 John Usher Wright Student in an Organized Health Care Education/Training Program 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2018-03-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629692389 Christopher Matey Military Health Care Provider 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 2020-05-29
1982225769 Jin Ah Kim Military Health Care Provider Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson Military Health Care Provider 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1891336541 Prana Hands Nonprofit Military Health Care Provider 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 2019-10-03
1992366587 Darion Pegues Military Health Care Provider 3530 Kelsey St, San Diego, CA 92124-3516 2019-06-24
1083275762 Tyler Bradshaw Thompson Military Health Care Provider 34, Farenholt Ave, San Diego, CA 92134-0001 2019-06-24
1558924274 Nathan Alley-byrd Military Health Care Provider Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-18
1013570290 Mckennan A Cook Military Health Care Provider Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 2019-04-15
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

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.

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