Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 67529 | WI |
N | 208000000X | Pediatrician | A132939 | CA |
Y | 2080P0204X | Pediatric Emergency Doctor | A132939 | CA |
NPI | 1285070169 |
---|---|
Provider Name | Yan Zhan |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 11/08/2020 |