MEDICARE: AKUMA YANG L.AC., DACCHM

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	171100000X	Acupuncturist	2104	MN

General Provider Information

NPI Number	:	1780542704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUMA YANG L.AC., DACCHM

Provider Business Mailing Address
First Line	:	6240 152ND AVE NW
Second Line	:
City	:	RAMSEY
State	:	MN
Zip	:	55303-9123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 ARLINGTON AVE W
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55117-4479
Country	:	US
Telephone Number	:	612-978-6250
Fax Number	:

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

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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