Provider Demographics
NPI:1497163794
Name:YANG, NHIA MICHAEL I
Entity Type:Individual
Prefix:
First Name:NHIA
Middle Name:MICHAEL
Last Name:YANG
Suffix:I
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 1:755 RIVERPOINT CT
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-1654
Mailing Address - Country:US
Mailing Address - Phone:916-373-2213
Mailing Address - Fax:916-373-2213
Practice Address - Street 1:755 RIVERPOINT CT
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-1654
Practice Address - Country:US
Practice Address - Phone:916-373-2213
Practice Address - Fax:916-373-2213
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH50175183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist