Provider Demographics
NPI:1073545190
Name:YANG, JUN (LAC, PHD)
Entity Type:Individual
Prefix:DR
First Name:JUN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:LAC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 YGNACIO VALLEY RD STE 108
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2987
Mailing Address - Country:US
Mailing Address - Phone:925-938-3908
Mailing Address - Fax:925-938-6817
Practice Address - Street 1:1479 YGNACIO VALLEY RD STE 108
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2987
Practice Address - Country:US
Practice Address - Phone:925-938-3908
Practice Address - Fax:925-938-6817
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA3171171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist