Healthcare Provider Details

I. General information

NPI: 1326802935
Provider Name (Legal Business Name): PATRICIA YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 LA CASA VIA STE 107
WALNUT CREEK CA
94598-3092
US

IV. Provider business mailing address

12 ASHLYNN CT
ENGLISHTOWN NJ
07726-1107
US

V. Phone/Fax

Practice location:
  • Phone: 925-478-4535
  • Fax: 925-430-5340
Mailing address:
  • Phone: 732-890-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: