Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G82300 | CA |
NPI | 1013915461 |
---|---|
Provider Name | Anthony P. Yang |
First Address | Alhambra, CA 91801-4438 |
Second Address | Alhambra, CA 91801-4438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G823000 | (05) | CA |
G51448 | (02) | CA |