Healthcare Provider Details

I. General information

NPI: 1366339202
Provider Name (Legal Business Name): REX YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 N ALHAMBRA AVE APT F
MONTEREY PARK CA
91755-1940
US

IV. Provider business mailing address

319 N ALHAMBRA AVE APT F
MONTEREY PARK CA
91755-1940
US

V. Phone/Fax

Practice location:
  • Phone: 626-560-7501
  • Fax:
Mailing address:
  • Phone: 626-560-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: