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Dr. Jie Shi Yan, MD
Nephrology Physician in Simi Valley, California
NPI 1396744546

Jie Shi Yan is a Nephrology Physician based in Moorpark, CA and is specialized in Nephrology. Jie Shi Yan practices in Simi Valley, CA and has the professional credentials of MD. The NPI Number for Jie Shi Yan is 1396744546 and holds a License No. A78071 (California).

The current practice location address for Jie Shi Yan is 2925 Sycamore Dr, Simi Valley, CA and can be reached out via phone at 805-584-0177 and via fax at 805-584-1179.

Location: 2925 Sycamore Dr, Simi Valley, CA, 93020-2160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396744546
Provider Name
Jie Shi Yan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2925 Sycamore Dr, Simi Valley, CA, 93020-2160
Phone Number
805-584-0177
Fax Number
805-584-1179
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A78071 01 CA CALIFORNIA LICENSE NUMBER
00A780710 05 CA
institution
Provider Business Practice Location Address Details
Address
2925 Sycamore Dr
City
Simi Valley
State
California
Zip
93065-1207
Phone Number
805-584-0177
Fax Number
805-584-1179
person
Provider Business Mailing Address Details
Address
2925 Sycamore Dr
City
Simi Valley
State
California
Zip
93065-1207
Phone Number
805-584-0177
Fax Number
805-584-1179
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
A78071 (California)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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