PHOENIX DI YING

FREMONT, CA
NPI1528546074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA57289)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: CT  pending)
Enumeration Date2018-08-06
Last Update Date2019-12-18
Business Address
PHOENIX DI YING PA
3200 KEARNEY ST
FREMONT, CA 94538-2299
Phone number: 510-490-1222
Mailing Address
PHOENIX DI YING PA
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: