Individual
QINGWEI ROBERT YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 TELEGRAPH AVE STE 3000, OAKLAND, CA 94609-3210
(510) 238-1238
(510) 238-1338
Mailing address
3100 TELEGRAPH AVE STE 3000, OAKLAND, CA 94609-3210
(510) 238-1238
(510) 238-1338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G77949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G779490
—
CA
Enumeration date
11/03/2006
Last updated
07/20/2023
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