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NPI Code Detail

MEDICARE: JIAYI YANG

MEDICARE: JIAYI YANG
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
1101YP2500XProfessional CounselorAPCC19969CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1235853722
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIAYI YANG
Provider Business Mailing Address
First Line : 320 N MADISON AVE STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3791
Country : US
Telephone Number : 646-749-4542
Fax Number :
Provider Business Practice Location Address
First Line : 320 N MADISON AVE STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3791
Country : US
Telephone Number : 646-749-4542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2022
Last Update Date : 09/11/2025

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Directions to “ JIAYI YANG ” Practice Location

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