Healthcare Provider Details

I. General information

NPI: 1174435713
Provider Name (Legal Business Name): HANNAH KIM YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9037 RANCHO REAL RD
TEMPLE CITY CA
91780-3028
US

IV. Provider business mailing address

9037 RANCHO REAL RD
TEMPLE CITY CA
91780-3028
US

V. Phone/Fax

Practice location:
  • Phone: 818-390-3512
  • Fax:
Mailing address:
  • Phone: 818-390-3512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95037539
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: