MEDICARE: CHIENYING YANG PHD, OTR/L

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	225X00000X	Occupational Therapist	OT18478	CA

General Provider Information

NPI Number	:	1801488358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIENYING YANG PHD, OTR/L

Provider Business Mailing Address
First Line	:	1143 TIMBERGATE LN
Second Line	:
City	:	BREA
State	:	CA
Zip	:	92821-6666
Country	:	US
Telephone Number	:	201-744-4327
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 BREA CANYON RD STE 158
Second Line	:
City	:	WALNUT
State	:	CA
Zip	:	91789-3005
Country	:	US
Telephone Number	:	840-588-9908
Fax Number	:

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

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	10/07/2024

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