Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A101284 | CA |
NPI | 1013183813 |
---|---|
Provider Name | Iris Yung |
First Address | Oakland, CA 94611-5613 |
Second Address | Oakland, CA 94611-5613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 09/08/2011 |