Basic Information
| Provider Information | |||||||||
| NPI: | 1922464056 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YAN | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | PAIK | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 185 BERRY ST | ||||||||
| Address2: | LOBBY 2, SUITE 130 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941075705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155146420 | ||||||||
| FaxNumber: | 4155142998 | ||||||||
| Practice Location | |||||||||
| Address1: | 185 BERRY ST | ||||||||
| Address2: | LOBBY 2, SUITE 130 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941075705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155146420 | ||||||||
| FaxNumber: | 4155142998 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2016 | ||||||||
| LastUpdateDate: | 09/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | F0915144 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.