Provider Demographics
NPI:1902831019
Name:MA, PETER YANG (MD)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:YANG
Last Name:MA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:624 W DUARTE RD STE 208
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7675
Mailing Address - Country:US
Mailing Address - Phone:626-294-9978
Mailing Address - Fax:888-413-9572
Practice Address - Street 1:624 W DUARTE RD STE 208
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7675
Practice Address - Country:US
Practice Address - Phone:626-294-9978
Practice Address - Fax:626-294-9526
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2023-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA53050207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF82720Medicare UPIN