Organization Name: | KEE IN YANG |
NPI Number: | 1659747954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEE I YANG (PHYSICIAN/OWNER) |
Mailing Address: | 6334 Mission Blvd Riverside |
State: | CA US |
Postal Code: | 925094123 |
Phone Number: | 9512489113 |
Fax Number: | 9512489115 |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A38547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |