Healthcare Provider Details

I. General information

NPI: 1467640433
Provider Name (Legal Business Name): YANGCHEN DOLKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BERRY ST LBBY 2
SAN FRANCISCO CA
94107-5705
US

IV. Provider business mailing address

CORNER OF ROUTE N12 AND N7 P.O.BOX 649
FORT DEFIANCE AZ
86504-0649
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-4533
  • Fax:
Mailing address:
  • Phone: 801-319-6039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number7779049
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA127458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: