Provider Demographics
NPI:1649417742
Name:YANG, JON LUEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:LUEN
Last Name:YANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:929 CLAY ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1556
Mailing Address - Country:US
Mailing Address - Phone:415-986-3239
Mailing Address - Fax:415-986-3260
Practice Address - Street 1:929 CLAY ST
Practice Address - Street 2:SUITE 405
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1556
Practice Address - Country:US
Practice Address - Phone:415-986-3239
Practice Address - Fax:415-986-3260
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-11
Last Update Date:2012-02-17
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Provider Licenses
StateLicense IDTaxonomies
CAA106461207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology