Doctor Name: | DR. DAVID YANG |
NPI Number: | 1013961788 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | E4603 |
Business Practice Address: | 20072 Sw Birch St Suite 260 Newport Beach, CA - 926600794 |
Business Phone Number: | 9492508881 |
Business Fax Number: | 9492508883 |
Mailing Address: | 20072 Sw Birch St, Suite 260 NEWPORT BEACH |
State: | CA |
Postal Code: | 926600794 |
Phone Number: | 9492508881 |
Fax Number: | 9492508883 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 03/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |