Provider Demographics
NPI:1891096178
Name:YANG, LENGPEA
Entity Type:Individual
Prefix:MISS
First Name:LENGPEA
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14080 PALM DR.
Mailing Address - Street 2:STE E
Mailing Address - City:DHS
Mailing Address - State:CA
Mailing Address - Zip Code:92240
Mailing Address - Country:US
Mailing Address - Phone:760-288-7878
Mailing Address - Fax:760-288-7474
Practice Address - Street 1:14080 PALM DR.
Practice Address - Street 2:STE E
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240
Practice Address - Country:US
Practice Address - Phone:760-288-7878
Practice Address - Fax:760-288-7474
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker