Alice Yan, Md, Incorporated | |
1500 Southgate Ave Ste 115 Daly City CA 94015-2205 | |
(650) 991-4466 | |
(650) 991-4467 |
Full Name | Alice Yan, Md, Incorporated |
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Speciality | Internal Medicine |
Location | 1500 Southgate Ave Ste 115, Daly City, California |
Authorized Official Name and Position | Alice Lim Yan (MD) |
Authorized Official Contact | 6509914466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alice Yan, Md, Incorporated 1500 Southgate Ave Ste 115 Daly City CA 94015-2205 Ph: (650) 991-4466 | Alice Yan, Md, Incorporated 1500 Southgate Ave Ste 115 Daly City CA 94015-2205 Ph: (650) 991-4466 |
NPI Number | 1326050071 |
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Provider Enumeration Date | 08/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0244236644 |
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Medicare Enrollment ID | O20061012000388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326050071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Alice L Yan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245265362 PECOS PAC ID: 5799781191 Enrollment ID: I20061006000538 |
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