Individual
JUSTIN YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(225) 439-4436
Mailing address
1542 TULANE AVE RM 659, NEW ORLEANS, LA 70112-2865
(504) 568-2315
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12057400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
12/05/2023
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