Provider Demographics
NPI:1386652329
Name:MA, YANLING (MD)
Entity Type:Individual
Prefix:
First Name:YANLING
Middle Name:
Last Name:MA
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:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-442-2582
Mailing Address - Fax:
Practice Address - Street 1:1500 SAN PABLO ST STE 202
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5313
Practice Address - Country:US
Practice Address - Phone:323-442-2582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55995207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952325565OtherGROUP NPI
CA00A559950Medicaid
CA220030560OtherMEDICARE RAILROAD
CA00A559950OtherBLUE SHIELD
CA00A559950OtherBLUE SHIELD
CA1952325565OtherGROUP NPI
CAH43008Medicare UPIN
CAWA55995DMedicare PIN
CA00A559950Medicaid
CAHW7801AMedicare PIN
CAW7801BMedicare PIN
CAW7801Medicare PIN
CAWA55995CMedicare PIN