Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A141993 | CA |
NPI | 1154663771 |
---|---|
Provider Name | Yan Yan |
First Address | Fremont, CA 94538-1422 |
Second Address | Fremont, CA 94538-1422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 26/07/2019 |