Provider Demographics
NPI:1518122308
Name:YANG, XING (MD,PHD,MSPH)
Entity Type:Individual
Prefix:
First Name:XING
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD,PHD,MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25965 NORMANDIE AVE
Mailing Address - Street 2:N BLDG 2, 1ST FL
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3416
Mailing Address - Country:US
Mailing Address - Phone:310-517-3739
Mailing Address - Fax:310-517-3742
Practice Address - Street 1:25965 NORMANDIE AVE
Practice Address - Street 2:N BLDG 2, 1ST FL
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3416
Practice Address - Country:US
Practice Address - Phone:310-517-3739
Practice Address - Fax:310-517-3742
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY443182083P0901X
CAA1176582083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine