Healthcare Provider Details

I. General information

NPI: 1437826948
Provider Name (Legal Business Name): MAI NHIA YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAINHIA YANG

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 N MILLBROOK AVE
FRESNO CA
93703-1425
US

IV. Provider business mailing address

PO BOX 8332
FRESNO CA
93747-8332
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9180
  • Fax:
Mailing address:
  • Phone: 559-824-2243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number131091
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: