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NPI Code Detail

MEDICARE: JENNY DACI YANG MD

MEDICARE: JENNY DACI YANG MD
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
1207RG0100XGastroenterology PhysicianA119192CA

General Provider Information

NPI Number : 1700021987
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY DACI YANG MD
Provider Business Mailing Address
First Line : 2331 MONTPELIER DR STE B
Second Line :
City : SAN JOSE
State : CA
Zip : 95116-1673
Country : US
Telephone Number : 408-347-9001
Fax Number : 408-347-9004
Provider Business Practice Location Address
First Line : 2331 MONTPELIER DR STE B
Second Line :
City : SAN JOSE
State : CA
Zip : 95116-1673
Country : US
Telephone Number : 408-347-9001
Fax Number : 408-347-9004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2008
Last Update Date : 11/07/2023

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