Organization
Q. ROBERT YAN, M.D. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGWEI ROBERT YAN M.D. (CEO)
(510) 238-1238
Entity
Organization
Contact information
Practice address
3100 TELEGRAPH AVE, SUITE 3000, OAKLAND, CA 94609-3210
(510) 238-1238
(510) 238-1338
Mailing address
3100 TELEGRAPH AVE, SUITE 3000, OAKLAND, CA 94609-3210
(510) 238-1238
(510) 238-1338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G77949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G779490
—
CA
Enumeration date
07/17/2006
Last updated
09/16/2008
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