Individual
DR. SHIUFONG YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
416 W LAS TUNAS DR STE 100, SAN GABRIEL, CA 91776-1236
(626) 282-2277
Mailing address
416 W LAS TUNAS DR STE 100, SAN GABRIEL, CA 91776-1236
(626) 282-2277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
50139
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
50139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50139
CALIFORNIA PHARMACIST LICENSE
CA
Enumeration date
04/09/2021
Last updated
05/06/2021
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