MEDICARE: HELEN 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	207V00000X	Obstetrics & Gynecology Physician	20A14375	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20A14375	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1255629440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN YANG

Provider Business Mailing Address
First Line	:	3711 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3315
Country	:	US
Telephone Number	:	562-444-0854
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 LONG BEACH BLVD STE 700
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3353
Country	:	US
Telephone Number	:	624-248-4225
Fax Number	:	562-424-8771

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

Provider Enumeration Date	:	07/21/2011
Last Update Date	:	03/07/2023

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Directions to “ HELEN YANG ” Practice Location

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