Healthcare Provider Details

I. General information

NPI: 1447836085
Provider Name (Legal Business Name): DR. ANDREW YIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9455 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1297
US

IV. Provider business mailing address

9455 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1297
US

V. Phone/Fax

Practice location:
  • Phone: 858-266-5000
  • Fax:
Mailing address:
  • Phone: 858-266-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA198577
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0100389
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0100389
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: