Provider Demographics
NPI:1801414784
Name:TED P YANG, MD, INC
Entity Type:Organization
Organization Name:TED P YANG, MD, INC
Other - Org Name:TED P YANG, MD INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TED
Authorized Official - Middle Name:P
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-355-8488
Mailing Address - Street 1:4305 TORRANCE BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4496
Mailing Address - Country:US
Mailing Address - Phone:310-355-8488
Mailing Address - Fax:949-276-3213
Practice Address - Street 1:4305 TORRANCE BLVD STE 505
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4496
Practice Address - Country:US
Practice Address - Phone:310-355-8488
Practice Address - Fax:949-276-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty