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 11 days ago.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