Provider Demographics
NPI:1245419456
Name:YANG, KOZEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KOZEN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 W EVELYN AVE
Mailing Address - Street 2:#1
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1363
Mailing Address - Country:US
Mailing Address - Phone:650-625-8878
Mailing Address - Fax:
Practice Address - Street 1:655 W EVELYN AVE
Practice Address - Street 2:#1
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1363
Practice Address - Country:US
Practice Address - Phone:650-625-8878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 7738171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist