Healthcare Provider Details

I. General information

NPI: 1689845273
Provider Name (Legal Business Name): DAVID C. YANG, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2621 S BRISTOL ST SUITE 306
SANTA ANA CA
92704-5766
US

IV. Provider business mailing address

2621 S BRISTOL ST SUITE 306
SANTA ANA CA
92704-5766
US

V. Phone/Fax

Practice location:
  • Phone: 714-556-1882
  • Fax: 714-556-8874
Mailing address:
  • Phone: 714-556-1882
  • Fax: 714-556-8874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW P. KO
Title or Position: VICE PRESIDENT
Credential: M.D.
Phone: 714-556-1882