Provider Demographics
NPI:1982848958
Name:YANG, TERN (DC)
Entity Type:Individual
Prefix:DR
First Name:TERN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 S DEMAREE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-9514
Mailing Address - Country:US
Mailing Address - Phone:559-733-7711
Mailing Address - Fax:559-733-7787
Practice Address - Street 1:4126 S DEMAREE ST
Practice Address - Street 2:SUITE A
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-9514
Practice Address - Country:US
Practice Address - Phone:559-733-7711
Practice Address - Fax:559-733-7787
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31226111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor