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NPI 1003008624

NPI 1003008624 : GEORGE T. YANG, M.D., A PROFESSIONAL CORPORATION : WEST COVINA, CA

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General NPI Number Information
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    NPI Number           |    1003008624
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE T. YANG, M.D., A PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    08/16/2007
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    Last Update Date     |    07/22/2010
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Provider Practice Location Address
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    Address Line         |    906 S SUNSET AVE STE 102 
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    City                 |    WEST COVINA
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    State                |    CA
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    Zip                  |    91790-3400
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    Country              |    US
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    Telephone            |    626-337-7286
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    906 S SUNSET AVE STE 102 
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    City                 |    WEST COVINA
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    State                |    CA
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    Zip                  |    91790-3400
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    Country              |    US
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    Telephone            |    626-337-7286
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GEORGE T. YANG 
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    Credential           |    M.D.
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    Telephone            |    626-337-7286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    A33505
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    License Number State |    CA
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