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NPI Code Detail

MEDICARE: EDNA YANG

MEDICARE: EDNA 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 Therapist41937CA

General Provider Information

NPI Number : 1467469916
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDNA YANG
Provider Business Mailing Address
First Line : 2033 VALLEJO WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95818-3846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 BERKELEY AVE
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2205
Country : US
Telephone Number : 916-747-7124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 07/08/2007

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Directions to “ EDNA YANG ” Practice Location

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