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NPI Code Detail

MEDICARE: LONG YANG

MEDICARE:   LONG  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
1183500000XPharmacist46861CA

General Provider Information

NPI Number : 1689105272
Entity Type Code : Individual
Provider Name (Legal Business Name) : LONG YANG
Provider Business Mailing Address
First Line : 1165 E MENLO AVE
Second Line :
City : FRESNO
State : CA
Zip : 93710-4015
Country : US
Telephone Number : 559-790-5708
Fax Number :
Provider Business Practice Location Address
First Line : 4601 DALE RD
Second Line :
City : MODESTO
State : CA
Zip : 95356-9718
Country : US
Telephone Number : 209-735-3968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 03/24/2017

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Directions to “ LONG YANG ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.