MEDICARE: CHOUA YANG ASW

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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	381659	CA
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1487270658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHOUA YANG ASW

Provider Business Mailing Address
First Line	:	4781 E GETTYSBURG AVE STE 118
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-1814
Country	:	US
Telephone Number	:	626-741-7180
Fax Number	:

Provider Business Practice Location Address
First Line	:	4781 E GETTYSBURG AVE STE 118
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-1814
Country	:	US
Telephone Number	:	626-741-7180
Fax Number	:

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

Provider Enumeration Date	:	06/23/2020
Last Update Date	:	02/23/2026

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Directions to “ CHOUA YANG ASW” Practice Location

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