Yan, Tracey Y

Yan, Tracey Y is an sole proprietor health care provider with primary practice located at 39833 Paseo Padre Pkwy Ste E , Fremont CA 94538-2980. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Yan, Tracey Y can be contacted via phone (510) 490-9600.

Contact Information

Primary practice address
39833 Paseo Padre Pkwy Ste E Fremont CA 94538-2980
Phone: (510) 490-9600
Fax: (510) 490-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC43261 California

Profile Details

NPI number 1306980859
LBN Legal business name Yan, Tracey Y
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2007
Last updated Jan 9th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306980859 NPPES
California MEDICAID 01674804

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