Healthcare Provider Details
I. General information
NPI: 1891015566
Provider Name (Legal Business Name): ARLENE NAI-TSE YANG MSPT, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2010
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3018 E COLORADO BLVD # 100
PASADENA CA
91107-3840
US
IV. Provider business mailing address
2020 E CRARY ST
PASADENA CA
91104-1703
US
V. Phone/Fax
- Phone: 626-449-3900
- Fax: 626-449-4505
- Phone: 626-794-4377
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 16549 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: