Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A149042 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD455483 | PA |
NPI | 1619237260 |
---|---|
Provider Name | Dr. Carol Hanlu Yan |
First Address | Palo Alto, CA 94303-3318 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 07/07/2017 |