MEDICARE: DR. DAVID C YANG MD

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	208000000X	Pediatrics Physician	A31191	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184735102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID C YANG MD

Provider Business Mailing Address
First Line	:	2621 S BRISTOL ST
Second Line	:	SUITE 306
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-556-1882
Fax Number	:	714-556-8874

Provider Business Practice Location Address
First Line	:	2621 S BRISTOL ST
Second Line	:	SUITE 306
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5719
Country	:	US
Telephone Number	:	714-556-1882
Fax Number	:	714-556-8874

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/21/2008

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