MEDICARE: DR. HELEN YANG O.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
1	152W00000X	Optometrist	14407	CA

General Provider Information

NPI Number	:	1356603278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN YANG O.D.

Provider Business Mailing Address
First Line	:	8869 DOMAINE ST
Second Line	:
City	:	ROSEMEAD
State	:	CA
Zip	:	91770-1207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 TERESITA BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-1828
Country	:	US
Telephone Number	:	415-585-4817
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

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