Provider Demographics
NPI:1417456831
Name:KIA YANG
Entity Type:Organization
Organization Name:KIA YANG
Other - Org Name:HEALING WITH NEEDLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:916-426-6991
Mailing Address - Street 1:7880 ALTA VALLEY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4909
Mailing Address - Country:US
Mailing Address - Phone:916-426-6991
Mailing Address - Fax:
Practice Address - Street 1:7880 ALTA VALLEY DR STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4909
Practice Address - Country:US
Practice Address - Phone:916-426-6991
Practice Address - Fax:916-520-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17620261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty