Healthcare Provider Details

I. General information

NPI: 1891959599
Provider Name (Legal Business Name): HELENA K YANG RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N MAIN ST
SANTA ANA CA
92701-3576
US

IV. Provider business mailing address

520 S MORNINGSTAR DR
ANAHEIM CA
92808-1624
US

V. Phone/Fax

Practice location:
  • Phone: 714-480-2497
  • Fax: 714-560-0306
Mailing address:
  • Phone: 714-283-3938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number47631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: