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NPI Code Detail

MEDICARE: ARIELLE ALEXANDRA YANG M.D.

MEDICARE: ARIELLE ALEXANDRA YANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2011015919MO
2207R00000XInternal Medicine PhysicianA136400CA

General Provider Information

NPI Number : 1134458235
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELLE ALEXANDRA YANG M.D.
Provider Business Mailing Address
First Line : 444 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2917
Country : US
Telephone Number : 800-954-8000
Fax Number :
Provider Business Practice Location Address
First Line : 444 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2917
Country : US
Telephone Number : 800-954-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2009
Last Update Date : 09/08/2015

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