Provider Demographics
NPI:1710360581
Name:YANG, NING (MD)
Entity Type:Individual
Prefix:
First Name:NING
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 S AZUSA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6854
Mailing Address - Country:US
Mailing Address - Phone:626-964-6012
Mailing Address - Fax:626-964-3941
Practice Address - Street 1:1850 S AZUSA AVE STE 300
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6854
Practice Address - Country:US
Practice Address - Phone:626-964-6012
Practice Address - Fax:626-964-3941
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA151895208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics