Provider Demographics
NPI:1154663771
Name:YAN, YAN (MD)
Entity type:Individual
Prefix:
First Name:YAN
Middle Name:
Last Name:YAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 EL CAMINO REAL STE 50
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3100
Mailing Address - Country:US
Mailing Address - Phone:650-651-3668
Mailing Address - Fax:650-948-4993
Practice Address - Street 1:1860 EL CAMINO REAL STE 50
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3100
Practice Address - Country:US
Practice Address - Phone:650-651-3668
Practice Address - Fax:650-948-4993
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA141993207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology