Provider Demographics
NPI:1245258656
Name:YANG, YIQIN
Entity type:Individual
Prefix:
First Name:YIQIN
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 1:3007 EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2358
Mailing Address - Country:US
Mailing Address - Phone:650-852-1284
Mailing Address - Fax:650-493-1528
Practice Address - Street 1:520 LAWRENCE EXPY
Practice Address - Street 2:SUITE 309
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4075
Practice Address - Country:US
Practice Address - Phone:408-735-8358
Practice Address - Fax:650-493-1528
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5890171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist