Individual ProviderJeremy D YangOtolaryngologyAllopathic & Osteopathic PhysiciansPractice Address3030 Childrens Way, San Diego, CA 92123-4232(858) 309-7701(858) 309-6300PECOS EnrollmentBased on the most recent information from CMS, provider Jeremy D Yang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1053843466Provider TypeIndividualFull NameYang, Jeremy DTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date4/3/2017Last Updated10/9/2023Contact InformationPractice LocationPractice Address3030 Childrens Way, San Diego, CA 92123-4232Phone(858) 309-7701FaxUnlisted FaxMailing LocationMailing Address3020 Childrens Way # Mc5003, San Diego, CA 92123-4223Phone(858) 309-6300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207YP0228XPrimaryDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseA191442CaliforniaCode207Y00000XDescriptionOtolaryngologyAllopathic & Osteopathic PhysiciansLicenseA191442California