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NPI Code Detail

MEDICARE: VINCENT YAN

MEDICARE: VINCENT YAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist
2390200000XStudent in an Organized Health Care Education/Training Program
3103K00000XBehavior Analyst

General Provider Information

NPI Number : 1346653649
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT YAN
Provider Business Mailing Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number : 650-938-3600
Fax Number : 650-938-3601
Provider Business Practice Location Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number : 650-938-3600
Fax Number : 650-938-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2014
Last Update Date : 08/26/2021

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Directions to “ VINCENT YAN ” Practice Location

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