Provider Demographics
NPI:1376813162
Name:YULIA K. KOLTZOVA-RANG MD INC
Entity Type:Organization
Organization Name:YULIA K. KOLTZOVA-RANG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YULIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOLTZOVA-RANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-343-8969
Mailing Address - Street 1:10900 N SCOTTSDALE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5222
Mailing Address - Country:US
Mailing Address - Phone:480-609-8600
Mailing Address - Fax:480-922-4966
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:801
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1522
Practice Address - Country:US
Practice Address - Phone:650-343-8969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty