| Organization Name: | JIN Q YANG MD INC. |
| NPI Number: | 1053660571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIN QUAN YANG (CEO) |
| Mailing Address: | 500 N Garfield Ave 110 Monterey Park |
| State: | CA US |
| Postal Code: | 917541242 |
| Phone Number: | 6262880091 |
| Fax Number: | 6262880092 |
| NPI Enumeration Date: | 08/30/2012 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 153994 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |