Provider Demographics
NPI:1295260859
Name:GUAN, YING YING (RDN)
Entity type:Individual
Prefix:
First Name:YING YING
Middle Name:
Last Name:GUAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 3RD ST UNIT 405
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-3664
Mailing Address - Country:US
Mailing Address - Phone:415-608-8812
Mailing Address - Fax:
Practice Address - Street 1:1770 POST ST # 208
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3606
Practice Address - Country:US
Practice Address - Phone:415-608-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered