=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891959599
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HELENA K YANG RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2008
-----------------------------------------------------
Last Update Date | 07/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 N MAIN ST
-----------------------------------------------------
City | SANTA ANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92701-3576
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-480-2497
-----------------------------------------------------
Fax | 714-560-0306
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 520 S MORNINGSTAR DR
-----------------------------------------------------
City | ANAHEIM
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92808-1624
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-283-3938
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 47631
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------