Provider Demographics
NPI:1578702999
Name:YANG, HOWARD (LAC)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:HOWARD
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:57 LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4804
Mailing Address - Country:US
Mailing Address - Phone:562-436-8881
Mailing Address - Fax:562-436-8886
Practice Address - Street 1:57 LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4804
Practice Address - Country:US
Practice Address - Phone:562-436-8881
Practice Address - Fax:562-436-8886
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10765171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist