Ty Five Star Corp
NPI #1104932417 in San Leandro, California
Provider Information
- NPI Number
- 1104932417
- Entity Type
- Organization
- Organization Name
- Ty Five Star Corp
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1652 MONO AVE
- City
- San Leandro
- State
- California
- ZIP Code
- 94578-2020
- Phone
- (510) 481-3200
Authorized Official
- Name
- DR. TOBIAS L YEH, MD
- Title
- ADMINISTRATOR
- Phone
- (510) 481-3306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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