Healthcare Provider Details

I. General information

NPI: 1275626954
Provider Name (Legal Business Name): JANIS YIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 KIELY BLVD
SANTA CLARA CA
95051-5329
US

IV. Provider business mailing address

2823 RAMONA CT
SANTA CLARA CA
95051-5643
US

V. Phone/Fax

Practice location:
  • Phone: 408-236-5225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58548
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: