Provider Demographics
NPI:1396472726
Name:HUNG, YIN YAN
Entity type:Individual
Prefix:MS
First Name:YIN YAN
Middle Name:
Last Name:HUNG
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 1:1385 MISSION STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103
Mailing Address - Country:US
Mailing Address - Phone:415-864-7833
Mailing Address - Fax:415-864-7093
Practice Address - Street 1:27 DASHIELL HAMMETT
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108
Practice Address - Country:US
Practice Address - Phone:415-477-7294
Practice Address - Fax:877-227-2087
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2024-02-02
Deactivation Date:2023-03-13
Deactivation Code:
Reactivation Date:2023-08-28
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 172V00000X
CAAMFT140581106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty