Provider Demographics
NPI:1710177258
Name:YANG, LENG KAU (LMP)
Entity Type:Individual
Prefix:MR
First Name:LENG
Middle Name:KAU
Last Name:YANG
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14245 AMBAUM BLVD SW
Mailing Address - Street 2:SUITE F
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1421
Mailing Address - Country:US
Mailing Address - Phone:206-431-1111
Mailing Address - Fax:206-242-3141
Practice Address - Street 1:14245 AMBAUM BLVD SW
Practice Address - Street 2:SUITE F
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1421
Practice Address - Country:US
Practice Address - Phone:206-431-1111
Practice Address - Fax:206-242-3141
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022328225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist