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General NPI Number Information
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NPI Number | 1811507452
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Entity Type | Individual
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Provider Name | YENLING YANG HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 767 N HILL ST STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90012-2365
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Country | US
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Telephone | 213-808-1792
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91101-1220
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Country | US
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Telephone | 626-794-5737
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60261
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License Number State | CA
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