Healthcare Provider Details

I. General information

NPI: 1255303277
Provider Name (Legal Business Name): CAROLINE YONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 02/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 CLAY ST STE 1
SAN FRANCISCO CA
94108
US

IV. Provider business mailing address

805 CLAY ST STE 1
SAN FRANCISCO CA
94108
US

V. Phone/Fax

Practice location:
  • Phone: 415-982-4878
  • Fax: 415-982-9525
Mailing address:
  • Phone: 415-982-4878
  • Fax: 415-982-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG063994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: