Individual
DR. ERIC YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27851 BRADLEY RD, STE 125, MENIFEE, CA 92586-2282
(951) 672-7967
(951) 246-3747
Mailing address
3660 PARK SIERRA DR, STE 203, RIVERSIDE, CA 92505-3071
(951) 687-3400
(951) 687-7630
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A84382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A843820
—
CA
01
—
BX068Y
MEDICARE
CA
Enumeration date
11/01/2006
Last updated
08/10/2021
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