Healthcare Provider Details

I. General information

NPI: 1427459189
Provider Name (Legal Business Name): ENLIGHT CONSULTING CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 GLADSTONE DR STE 8
PITTSBURG CA
94565-5125
US

IV. Provider business mailing address

728 PACIFIC AVE SUITE 501
SAN FRANCISCO CA
94133-4449
US

V. Phone/Fax

Practice location:
  • Phone: 415-666-2536
  • Fax:
Mailing address:
  • Phone: 415-666-2536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA94954
License Number StateCA

VIII. Authorized Official

Name: XIAO YANG
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 925-301-8487