Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1023168291 |
---|---|
Provider Name | Mr. Vang T Yang |
First Address | Fresno, CA 93722-6849 |
Second Address | Fresno, CA 93702-2977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 05/11/2015 |