Provider Demographics
NPI:1972884849
Name:YAN, TSZ CHUN
Entity type:Individual
Prefix:MR
First Name:TSZ CHUN
Middle Name:
Last Name:YAN
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:PATRICK
Other - Middle Name:
Other - Last Name:YAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:465 BUENA VISTA AVE
Mailing Address - Street 2:APT. 213,
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1964
Mailing Address - Country:US
Mailing Address - Phone:415-939-2610
Mailing Address - Fax:
Practice Address - Street 1:310 8TH STREET SUITE 201
Practice Address - Street 2:ASIAN COMMUNITY MENTAL HEALTH SERVICES,
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607
Practice Address - Country:US
Practice Address - Phone:510-451-6729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program