Doctor Name: | DR. RONG YANG |
NPI Number: | 1497783773 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | A61906 |
Business Practice Address: | 2650 Jones Way Suite 24 Sun Valley, CA - 93065 |
Business Phone Number: | 8052107107 |
Business Fax Number: | 8055820251 |
Mailing Address: | 2650 Jones Way Ste 24, SIMI VALLEY |
State: | CA |
Postal Code: | 930651224 |
Phone Number: | 8052107107 |
Fax Number: | 8055820251 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A61906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |