Jenny Daci Yang, Pc | |
200 Jose Figueres Ave Ste 180 San Jose CA 95116-1586 | |
(408) 740-3353 | |
Not Available |
Full Name | Jenny Daci Yang, Pc |
---|---|
Speciality | Internal Medicine |
Location | 200 Jose Figueres Ave Ste 180, San Jose, California |
Authorized Official Name and Position | Jenny Daci Yang (PRESIDENT) |
Authorized Official Contact | 4087403353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jenny Daci Yang, Pc 200 Jose Figueres Ave Ste 180 San Jose CA 95116-1586 Ph: (408) 740-3353 | Jenny Daci Yang, Pc 200 Jose Figueres Ave Ste 180 San Jose CA 95116-1586 Ph: (408) 740-3353 |
NPI Number | 1538780606 |
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Provider Enumeration Date | 04/30/2020 |
Last Update Date | 04/30/2020 |
Medicare PECOS PAC ID | 6002238417 |
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Medicare Enrollment ID | O20200611002512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538780606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Jenny Daci Yang |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1700021987 PECOS PAC ID: 9739357716 Enrollment ID: I20120912000749 |
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