Provider Demographics
NPI:1972905388
Name:YANG, TRACY (DC)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:J
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3329 COOK LN
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-6939
Mailing Address - Country:US
Mailing Address - Phone:909-935-9895
Mailing Address - Fax:
Practice Address - Street 1:THREE EMBARCADERO CENTER
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-495-2225
Practice Address - Fax:415-494-2228
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32977111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor