Provider Demographics
NPI:1558963892
Name:YANG, DANNA
Entity Type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 EL CAMINO REAL
Mailing Address - Street 2:STE 100
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1090
Mailing Address - Country:US
Mailing Address - Phone:650-325-6000
Mailing Address - Fax:650-325-8091
Practice Address - Street 1:906 SANTA CRUZ DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2329
Practice Address - Country:US
Practice Address - Phone:925-395-3286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant