Provider Demographics
NPI:1184638645
Name:MYINT, YIN-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:YIN-YIN
Middle Name:
Last Name:MYINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:Y
Other - Last Name:MYINT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1800 SULLIVAN AVE
Mailing Address - Street 2:STE 601
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2226
Mailing Address - Country:US
Mailing Address - Phone:650-992-2890
Mailing Address - Fax:650-992-2008
Practice Address - Street 1:1800 SULLIVAN AVE
Practice Address - Street 2:STE 601
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2226
Practice Address - Country:US
Practice Address - Phone:650-992-2890
Practice Address - Fax:650-992-2008
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA051833207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A518350Medicaid
CA00A518330Medicaid
00A518330Medicare Oscar/Certification
F82148Medicare UPIN