Provider Demographics
NPI:1447408703
Name:YANG, GEORGE
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 VAN NESS AVE
Mailing Address - Street 2:#804
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2016
Mailing Address - Country:US
Mailing Address - Phone:559-488-3420
Mailing Address - Fax:559-262-3993
Practice Address - Street 1:1100 VAN NESS AVE
Practice Address - Street 2:#804
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2016
Practice Address - Country:US
Practice Address - Phone:559-488-3420
Practice Address - Fax:559-262-3993
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management