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NPI Code Detail

MEDICARE: JOHNNY YANG

MEDICARE: JOHNNY 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
1171400000XHealth & Wellness Coach6F9F5E485DCA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1538623145
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNNY YANG
Provider Business Mailing Address
First Line : 1782 E BULLARD AVE STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93710-5868
Country : US
Telephone Number : 559-515-6485
Fax Number :
Provider Business Practice Location Address
First Line : 1782 E BULLARD AVE STE 104
Second Line :
City : FRESNO
State : CA
Zip : 93710-5868
Country : US
Telephone Number : 559-515-6485
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2019
Last Update Date : 02/04/2026

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Directions to “ JOHNNY YANG ” Practice Location

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