Individual
DR. VICKY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 WHIPPLE AVE STE 245, REDWOOD CITY, CA 94062-2851
(650) 365-3700
(650) 368-3836
Mailing address
2900 WHIPPLE AVE STE 245, REDWOOD CITY, CA 94062-2851
(650) 365-3700
(650) 368-3836
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G805360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0025350
—
CA
01
—
ZZZ12647Z
BLUE SHIELD
CA
01
—
ZZZ12647Z
MEDICARE GRP PIN
—
Enumeration date
10/27/2006
Last updated
09/13/2011
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