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General NPI Number Information
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NPI Number | 1336949254
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Entity Type | Organization
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Legal Business Name | BESA HEALTH YANG P.C.
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 218 W 4TH ST
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City | SANTA ANA
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State | CA
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Zip | 92701-6720
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Country | US
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Telephone | 855-642-6796
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 MAIN ST STE 13002018
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City | IRVINE
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State | CA
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Zip | 92614-7219
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Country | US
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Telephone | 855-642-6796
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PRACTICE INTEGRATION
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Name | MR. MATTHEW CJ EHORN
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Credential |
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Telephone | 855-642-6796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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