Healthcare Provider Details

I. General information

NPI: 1619885688
Provider Name (Legal Business Name): YITING YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVA YANG OTD, OTR/L

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 E HUNTINGTON DR STE 203
MONROVIA CA
91016-6424
US

IV. Provider business mailing address

1815 ROSE AVE
SAN MARINO CA
91108-3018
US

V. Phone/Fax

Practice location:
  • Phone: 626-358-9671
  • Fax:
Mailing address:
  • Phone: 626-246-8429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number29404
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: