OrganizationActive
East Los Angeles Ent Medical Center
NPI 1386750198 · Otolaryngology/Facial Plastic Surgery Physician · San Gabriel, CA
Provider details
- NPI number
- 1386750198
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shounan Yao, President(626) 284-2000
- License
- A83484 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
533 W Las Tunas Dr # 202
San Gabriel, CA 91776-1133
Phone: (626) 284-2000
Fax: (626) 284-4300
Approximate (ZIP-level) locationGet directions
Mailing address
533 W Las Tunas Dr # 202
San Gabriel, CA 91776-1133
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.