| Doctor Name: | JINA KO YANG |
| NPI Number: | 1033490321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 797258 |
| Business Practice Address: | 1149 W 190th St Gardena, CA - 902484321 |
| Business Phone Number: | 3108514705 |
| Business Fax Number: | |
| Mailing Address: | 1027 23rd St, SANTA MONICA |
| State: | CA |
| Postal Code: | 904034519 |
| Phone Number: | 3107226290 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2011 |
| NPI Last Update Date: | 02/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 797258 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |