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Individual

CHI-KWAN YEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2105 FOREST LANE, SAN JOSE, CA 95128
(408) 947-2502
(408) 283-7704
Mailing address
PO BOX 26060, FRESNO, CA 93729-6060
(559) 455-4000
(559) 455-4007

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
G34774
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G347740
CA
Enumeration date
08/25/2006
Last updated
05/22/2008
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