Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 474 | CA |
N | 225XH1200X | Occupational Therapist - Hand | 474 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 474 | CA |
NPI | 1821118993 |
---|---|
Provider Name | Mr. Minian Martin Yang |
First Address | Riverside, CA 92509-5207 |
Second Address | Orange, CA 92868-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |