Healthcare Provider Details

I. General information

NPI: 1265564371
Provider Name (Legal Business Name): HOYEOL YANG MD PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 12/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 COLUMBIA POINT DR
RICHLAND WA
99352-4375
US

IV. Provider business mailing address

98 COLUMBIA POINT DR
RICHLAND WA
99352-4375
US

V. Phone/Fax

Practice location:
  • Phone: 509-946-3636
  • Fax: 509-946-3737
Mailing address:
  • Phone: 509-946-3636
  • Fax: 509-946-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number StateWA

VIII. Authorized Official

Name: HOYEOL YANG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 509-946-3636