Individual
JENNY YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3600
Mailing address
PO BOX 60604, CITY OF INDUSTRY, CA 91716-0604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A200857
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2017
Last updated
02/24/2026
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