Healthcare Provider Details

I. General information

NPI: 1750732657
Provider Name (Legal Business Name): PAUL YANG M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TAE CHAN PAUL YANG M.D.

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W CALIFORNIA BLVD
PASADENA CA
91105-3010
US

IV. Provider business mailing address

1107 FAIR OAKS AVE
SOUTH PASADENA CA
91030-3311
US

V. Phone/Fax

Practice location:
  • Phone: 626-352-1444
  • Fax:
Mailing address:
  • Phone: 626-842-7745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA150374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: