Healthcare Provider Details

I. General information

NPI: 1437564630
Provider Name (Legal Business Name): CAROLINE YOUNGMI YANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE YANG

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 WILSHIRE BLVD STE 1410
LOS ANGELES CA
90048-5815
US

IV. Provider business mailing address

6200 WILSHIRE BLVD STE 1410
LOS ANGELES CA
90048-5815
US

V. Phone/Fax

Practice location:
  • Phone: 925-285-1778
  • Fax:
Mailing address:
  • Phone: 925-285-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number6894
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA147819
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA147819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: