Provider Demographics
NPI:1700387891
Name:YANG, YOUNG SOON (NP)
Entity Type:Individual
Prefix:
First Name:YOUNG
Middle Name:SOON
Last Name:YANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3663 W 6TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3047
Mailing Address - Country:US
Mailing Address - Phone:213-383-4000
Mailing Address - Fax:213-427-5588
Practice Address - Street 1:3663 W 6TH ST
Practice Address - Street 2:103
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3047
Practice Address - Country:US
Practice Address - Phone:213-388-5144
Practice Address - Fax:213-388-5154
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008563363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95008563OtherNURSE PRACTITIONER