Provider Demographics
NPI:1689845273
Name:DAVID C. YANG, M.D., INC.
Entity Type:Organization
Organization Name:DAVID C. YANG, M.D., INC.
Other - Org Name:BRISTOL PEDIATRICS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:KO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-556-1882
Mailing Address - Street 1:2621 S BRISTOL ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5766
Mailing Address - Country:US
Mailing Address - Phone:714-556-1882
Mailing Address - Fax:714-556-8874
Practice Address - Street 1:2621 S BRISTOL ST
Practice Address - Street 2:SUITE 306
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5766
Practice Address - Country:US
Practice Address - Phone:714-556-1882
Practice Address - Fax:714-556-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty