Provider Demographics
NPI:1285032649
Name:YANG, LUAN (DC)
Entity Type:Individual
Prefix:
First Name:LUAN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1298 KIFER RD
Mailing Address - Street 2:#511
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5319
Mailing Address - Country:US
Mailing Address - Phone:408-733-8598
Mailing Address - Fax:408-733-8597
Practice Address - Street 1:1298 KIFER RD
Practice Address - Street 2:#511
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-5319
Practice Address - Country:US
Practice Address - Phone:408-733-8598
Practice Address - Fax:408-733-8597
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor