Provider Demographics
NPI:1326066234
Name:YANG, MEIYUN (DO)
Entity Type:Individual
Prefix:
First Name:MEIYUN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 S FIGUEROA ST
Mailing Address - Street 2:APT. #638
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2541
Mailing Address - Country:US
Mailing Address - Phone:213-626-0720
Mailing Address - Fax:
Practice Address - Street 1:55 S RAYMOND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7100
Practice Address - Country:US
Practice Address - Phone:626-570-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8915207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine