Individual
MANSHU YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4015
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
(909) 558-4015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A163376
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A163376
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
07/17/2023
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