Individual
JACK YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 HAMILTON AVE, PALO ALTO, CA 94301-2011
(650) 250-5615
Mailing address
2310 HOMESTEAD RD STE C1-543, LOS ALTOS, CA 94024-7339
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A118843
CA
Other
Enumeration date
07/09/2007
Last updated
03/17/2018
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