MEDICARE: DR. CHRISTINE YANG O.D.

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	152W00000X	Optometrist	14271	CA

General Provider Information

NPI Number	:	1235414962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE YANG O.D.

Provider Business Mailing Address
First Line	:	39843 SAN MORENO CT
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-3613
Country	:	US
Telephone Number	:	510-648-7358
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 EL CAMINO REAL
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-4051
Country	:	US
Telephone Number	:	408-244-2831
Fax Number	:

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

Provider Enumeration Date	:	10/13/2011
Last Update Date	:	11/15/2022

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