MEDICARE: JAMIE H. YANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC9796	CA

General Provider Information

NPI Number	:	1033315155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE H. YANG

Provider Business Mailing Address
First Line	:	528 S ALEXANDRIA AVE APT 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-2879
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	903 CRENSHAW BLVD STE 304
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-1967
Country	:	US
Telephone Number	:	213-284-4290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	11/10/2016

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Directions to “ JAMIE H. YANG ” Practice Location

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