Healthcare Provider Details

I. General information

NPI: 1972460434
Provider Name (Legal Business Name): WHA SONG (JAMES) YANG PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES YANG PH.D

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11303 W WASHINGTON BLVD FL 2
LOS ANGELES CA
90066-6003
US

IV. Provider business mailing address

1425 W 12TH ST APT 254
LOS ANGELES CA
90015-4507
US

V. Phone/Fax

Practice location:
  • Phone: 213-364-1191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: