Provider Demographics
NPI:1376732057
Name:YANG, JULIE TING-YU (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:TING-YU
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 ALESSANDRO PL
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3149
Mailing Address - Country:US
Mailing Address - Phone:626-793-7114
Mailing Address - Fax:626-793-7679
Practice Address - Street 1:50 ALESSANDRO PL
Practice Address - Street 2:SUITE 410
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3149
Practice Address - Country:US
Practice Address - Phone:626-793-7114
Practice Address - Fax:626-793-7679
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82460207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology