Fan, Yvette
Fan, Yvette is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Fan, Yvette can be contacted via phone (510) 752-1000.Contact Information
Primary practice address
275 W Macarthur Blvd
Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | G77220 | California |
Profile Details
| NPI number | 1962574780 |
|---|---|
| LBN Legal business name | Fan, Yvette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 6th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962574780 | NPPES |
| California | MEDICAID | 00G772200 |
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