Healthcare Provider Details

I. General information

NPI: 1699351288
Provider Name (Legal Business Name): CHRISTINE YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US

IV. Provider business mailing address

2650 ELM AVE STE 201
LONG BEACH CA
90806-1600
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-0300
  • Fax: 562-933-0301
Mailing address:
  • Phone: 562-492-6695
  • Fax: 562-988-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA180764
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: