Provider Demographics
NPI:1629279328
Name:KIM, YANG CHA
Entity Type:Individual
Prefix:DR
First Name:YANG
Middle Name:CHA
Last Name:KIM
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:YANG
Other - Middle Name:CHA
Other - Last Name:HUH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:308 N OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90004-2710
Mailing Address - Country:US
Mailing Address - Phone:323-734-7000
Mailing Address - Fax:323-467-0994
Practice Address - Street 1:308 N OXFORD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-2710
Practice Address - Country:US
Practice Address - Phone:323-734-7000
Practice Address - Fax:323-467-0994
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist