Provider Demographics
NPI:1801072418
Name:YANG, DUNCAN
Entity type:Individual
Prefix:MR
First Name:DUNCAN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1758 SIERRA LEONE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5837
Mailing Address - Country:US
Mailing Address - Phone:626-913-2668
Mailing Address - Fax:626-913-2198
Practice Address - Street 1:1758 SIERRA LEONE AVE STE B
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5837
Practice Address - Country:US
Practice Address - Phone:626-913-2668
Practice Address - Fax:626-913-2198
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACL1231156FC0801X
SL4297156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter