| Kim Shiu-chin Yang M.d.,inc. | |
|
207 S Santa Anita Ave Suite 320 San Gabriel CA 91776-1146 | |
| (626) 458-0181 | |
| (626) 458-0183 |
| Full Name | Kim Shiu-chin Yang M.d.,inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 207 S Santa Anita Ave, San Gabriel, California |
| Authorized Official Name and Position | Kim Shiu-chin Yang (PRESIDENT) |
| Authorized Official Contact | 6264580181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Shiu-chin Yang M.d.,inc. 207 S Santa Anita Ave Suite 320 San Gabriel CA 91776-1146 Ph: (626) 458-0181 | Kim Shiu-chin Yang M.d.,inc. 207 S Santa Anita Ave Suite 320 San Gabriel CA 91776-1146 Ph: (626) 458-0181 |
| NPI Number | 1487704268 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 3971600453 |
|---|---|
| Medicare Enrollment ID | O20070517000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487704268 | NPI | - | NPPES |
| 00A408240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A40824 (California) | Primary |
| Provider Name | Kim S Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609854231 PECOS PAC ID: 7214994243 Enrollment ID: I20041211000037 |
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