Provider Demographics
NPI:1518206788
Name:YAM, GINA TSZ NA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:TSZ NA
Last Name:YAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TSZ NA
Other - Middle Name:
Other - Last Name:KO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:845 JACKSON STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133
Mailing Address - Country:US
Mailing Address - Phone:415-677-2429
Mailing Address - Fax:415-677-2441
Practice Address - Street 1:845 JACKSON STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133
Practice Address - Country:US
Practice Address - Phone:415-677-2429
Practice Address - Fax:415-677-2441
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist