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NPI Code Detail

MEDICARE: MS. KIMBERLEY YANG

MEDICARE: MS. KIMBERLEY 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1841597598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLEY YANG
Provider Business Mailing Address
First Line : 1072 E TACHEVAH DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4910
Country : US
Telephone Number : 760-861-7299
Fax Number :
Provider Business Practice Location Address
First Line : 1072 E TACHEVAH DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4910
Country : US
Telephone Number : 760-861-7299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2011
Last Update Date : 02/15/2011

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