Healthcare Provider Details

I. General information

NPI: 1801537394
Provider Name (Legal Business Name): YANG MEDICAL SERVICES AZ, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 GRIER DR STE C
LAS VEGAS NV
89119-3746
US

IV. Provider business mailing address

1181 GRIER DR STE C
LAS VEGAS NV
89119-3746
US

V. Phone/Fax

Practice location:
  • Phone: 888-888-9930
  • Fax: 702-837-1913
Mailing address:
  • Phone: 702-375-8362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD YANG
Title or Position: OWNER
Credential: MD
Phone: 646-641-8296