MEDICARE: MR. DUNCAN 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
1	156FC0801X	Contact Lens Fitter	CL1231	CA
2	156FX1800X	Optician	SL4297

General Provider Information

NPI Number	:	1801072418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DUNCAN YANG

Provider Business Mailing Address
First Line	:	1758 SIERRA LEONE AVE STE B
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-5837
Country	:	US
Telephone Number	:	626-913-2668
Fax Number	:	626-913-2198

Provider Business Practice Location Address
First Line	:	1758 SIERRA LEONE AVE STE B
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-5837
Country	:	US
Telephone Number	:	626-913-2668
Fax Number	:	626-913-2198

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

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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Directions to “ MR. DUNCAN YANG ” Practice Location

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