Provider Demographics
NPI:1578520201
Name:YANG, JAMES T (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3500 BARRANCA PKWY STE 230
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8231
Mailing Address - Country:US
Mailing Address - Phone:949-753-7999
Mailing Address - Fax:949-783-5904
Practice Address - Street 1:3500 BARRANCA PKWY STE 230
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-8231
Practice Address - Country:US
Practice Address - Phone:949-753-7999
Practice Address - Fax:949-783-5904
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA31193207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A311932Medicaid
W8991Medicare ID - Type Unspecified
CA00A311932Medicaid