Provider Demographics
NPI:1114992294
Name:SOONG, JAMES YANG (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YANG
Last Name:SOONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:909 HYDE ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4822
Mailing Address - Country:US
Mailing Address - Phone:415-771-3040
Mailing Address - Fax:415-885-6291
Practice Address - Street 1:909 HYDE ST
Practice Address - Street 2:SUITE 234
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4822
Practice Address - Country:US
Practice Address - Phone:415-771-3040
Practice Address - Fax:415-885-6291
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG306562084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G306560Medicare ID - Type Unspecified
CAA44504Medicare UPIN