Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A113093 | CA |
N | 208600000X | Surgeon | A113093 | CA |
Y | 2086S0129X | Vascular Surgeon | A113093 | CA |
NPI | 1013231091 |
---|---|
Provider Name | Dr. Jane Kim Yang |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-1138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2010 |
Last Update Date | 20/12/2019 |