MEDICARE: DR. GEORGE S YANG M.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	207W00000X	Ophthalmology Physician	A55047	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180039003	OTHER	CA	MEDICARE RAILROAD

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	:	1316984198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE S YANG M.D.

Provider Business Mailing Address
First Line	:	123 DI SALVO AVE
Second Line	:	SUITE 20
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1717
Country	:	US
Telephone Number	:	408-279-4664
Fax Number	:	408-279-0464

Provider Business Practice Location Address
First Line	:	123 DI SALVO AVE
Second Line	:	SUITE 20
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1717
Country	:	US
Telephone Number	:	408-279-4664
Fax Number	:	408-279-0464

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	01/06/2016

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Directions to “ DR. GEORGE S YANG M.D.” Practice Location

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