Healthcare Provider Details

I. General information

NPI: 1528105970
Provider Name (Legal Business Name): GEORGE G YANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W LAS POSITAS BLVD
PLEASANTON CA
94588-4000
US

IV. Provider business mailing address

3116 W MARCH LN STE 200
STOCKTON CA
95219-2369
US

V. Phone/Fax

Practice location:
  • Phone: 925-416-3439
  • Fax: 925-416-6593
Mailing address:
  • Phone: 209-473-6555
  • Fax: 209-473-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberA76886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: