Provider Demographics
NPI:1710218573
Name:YANG, JOCELYN (CMT)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 WREN CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5256
Mailing Address - Country:US
Mailing Address - Phone:408-386-4530
Mailing Address - Fax:
Practice Address - Street 1:250C TWIN DOLPHIN DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1402
Practice Address - Country:US
Practice Address - Phone:650-631-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist