Provider Demographics
NPI:1164747069
Name:YANG, CAROL HSUAN JUI
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:HSUAN JUI
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5699 MILGROVE WAY
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-8772
Mailing Address - Country:US
Mailing Address - Phone:626-524-1188
Mailing Address - Fax:
Practice Address - Street 1:5699 MILGROVE WAY
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-8772
Practice Address - Country:US
Practice Address - Phone:626-524-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13484171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist