Provider Demographics
NPI:1710747100
Name:YANG, SOJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SOJIN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2392
Mailing Address - Country:US
Mailing Address - Phone:415-866-5217
Mailing Address - Fax:
Practice Address - Street 1:2700 DOLBEER STREET
Practice Address - Street 2:PROVIDENCE, ST. JOSEPH HOSPITAL - EUREKA
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501
Practice Address - Country:US
Practice Address - Phone:415-866-5217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program