Provider Demographics
NPI:1306015631
Name:TEH-SHU YANG
Entity Type:Organization
Organization Name:TEH-SHU YANG
Other - Org Name:QUALITY ORTHOPEDIC APPLIANCES COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEH-SHU
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:626-309-1686
Mailing Address - Street 1:2916 SOMERSET PL
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-3036
Mailing Address - Country:US
Mailing Address - Phone:626-451-0519
Mailing Address - Fax:626-451-0519
Practice Address - Street 1:2916 SOMERSET PL
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-3036
Practice Address - Country:US
Practice Address - Phone:626-451-0519
Practice Address - Fax:626-451-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXC0009500Medicaid
CA0875230001Medicare NSC