Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 009266 | CT |
N | 1223P0700X | Prosthodontist | 051230-1 | NY |
NPI | 1083704530 |
---|---|
Provider Name | Dr. Gerald Yang |
First Address | Carmichael, CA 95608-5866 |
Second Address | Sacramento, CA 95652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |