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NPI 1619133162

NPI 1619133162 : YUE YANG M.D. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1619133162
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    Entity Type          |    Individual 
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    Provider Name        |    YUE YANG M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2008
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    Last Update Date     |    12/03/2021
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Provider Practice Location Address
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    Address Line         |    1200 N STATE ST GH4136
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90033-1029
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    Country              |    US
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    Telephone            |    323-226-7315
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    Fax                  |    323-226-2780
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Provider Business Mailing Address
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    Address Line         |    3310 SAWTELLE BLVD #205
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90066-1635
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Y00000X
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    Taxonomy Name        |    Otolaryngology Physician
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    License Number       |    A100138
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    License Number State |    CA
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