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NPI Code Detail

MEDICARE: MAI XAE YANG

MEDICARE: MAI XAE 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
1106H00000XMarriage & Family Therapist153857CA

General Provider Information

NPI Number : 1104337104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAI XAE YANG
Provider Business Mailing Address
First Line : 3168 ANTONIO AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93619-8906
Country : US
Telephone Number : 559-601-9900
Fax Number :
Provider Business Practice Location Address
First Line : 4871 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-390-0963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 05/27/2026

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Directions to “ MAI XAE YANG ” Practice Location

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