MEDICARE: JOOHEE 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	363A00000X	Physician Assistant	0110011633	VA

General Provider Information

NPI Number	:	1801606454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOOHEE YANG

Provider Business Mailing Address
First Line	:	1775 N SECTOR CT STE 200
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2859
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14535 JOHN MARSHALL HWY STE 105
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-4024
Country	:	US
Telephone Number	:	703-754-0425
Fax Number	:

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

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	02/12/2026

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Directions to “ JOOHEE YANG ” Practice Location

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