Doctor Name: | SANE THAI YANG |
NPI Number: | 1083973911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA22208 |
Business Practice Address: | 2767 Olive Hwy Oroville, CA - 959666118 |
Business Phone Number: | 5305338500 |
Business Fax Number: | |
Mailing Address: | 160 Pinedale Ave, OROVILLE |
State: | CA |
Postal Code: | 959666326 |
Phone Number: | 5302823578 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2012 |
NPI Last Update Date: | 05/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA22208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |