MEDICARE: WHA SONG (JAMES) YANG PH.D

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	103T00000X	Psychologist

General Provider Information

NPI Number	:	1972460434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHA SONG (JAMES) YANG PH.D

Provider Business Mailing Address
First Line	:	1425 W 12TH ST APT 254
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-4507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11303 W WASHINGTON BLVD FL 2
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-6003
Country	:	US
Telephone Number	:	213-364-1191
Fax Number	:

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	05/14/2026

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