Healthcare Provider Details

I. General information

NPI: 1790845626
Provider Name (Legal Business Name): TOU B. YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TOU B. YANG

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 E KINGS CANYON RD
FRESNO CA
93702-3604
US

IV. Provider business mailing address

4447 E. KINGS CANYON ROAD
FRESNO CA
93702-1519
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-4680
  • Fax: 559-600-4665
Mailing address:
  • Phone: 559-600-4680
  • Fax: 559-600-4665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: