Healthcare Provider Details

I. General information

NPI: 1700405800
Provider Name (Legal Business Name): DIANA CHIH-YI YANG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N ROSE AVE STE 470
OXNARD CA
93030-7659
US

IV. Provider business mailing address

148 WILSHIRE AVE
DALY CITY CA
94015-1054
US

V. Phone/Fax

Practice location:
  • Phone: 805-263-7492
  • Fax: 805-702-8656
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number19454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: