Provider Demographics
NPI:1649408709
Name:KANG, ELAINE YEE-LING (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:YEE-LING
Last Name:KANG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:YEE-LING
Other - Last Name:TONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4150 CLEMENT ST
Mailing Address - Street 2:181G
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1545
Mailing Address - Country:US
Mailing Address - Phone:415-221-4810
Mailing Address - Fax:415-379-5512
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:181G
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-379-5512
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily