Healthcare Provider Details
I. General information
NPI: 1851549232
Provider Name (Legal Business Name): JOO YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2008
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15464 GOLDENWEST ST.
WESTMINSTER CA
92683
US
IV. Provider business mailing address
24361 EL TORO RD STE 105
LAGUNA WOODS CA
92637-2756
US
V. Phone/Fax
- Phone: 714-891-9008
- Fax: 714-897-7949
- Phone: 949-415-3335
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | A167038 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | A167038 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0500X |
| Taxonomy | Preventive Medicine/Occupational Environmental Medicine Physician |
| License Number | A167038 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: