| Dr. Yang's Family Care | |
|
10201 Mission Gorge Rd Suite H Santee CA 92071-3026 | |
| (619) 596-4963 | |
| (619) 596-4963 |
| Full Name | Dr. Yang's Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10201 Mission Gorge Rd, Santee, California |
| Authorized Official Name and Position | Therese H Yang (PRESIDENT) |
| Authorized Official Contact | 6195964963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Yang's Family Care 10201 Mission Gorge Rd Suite H Santee CA 92071-3026 Ph: (619) 596-4963 | Dr. Yang's Family Care 10201 Mission Gorge Rd Suite H Santee CA 92071-3026 Ph: (619) 596-4963 |
| NPI Number | 1902923766 |
|---|---|
| Provider Enumeration Date | 03/24/2007 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 9032140686 |
|---|---|
| Medicare Enrollment ID | O20050824000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902923766 | NPI | - | NPPES |
| GR0089500 | Medicaid | CA | |
| 1659339620 | Other | CA | DR. YANG'S NPI |
| AR524Z | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G64469 (California) | Primary |
| Provider Name | Therese H Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659339620 PECOS PAC ID: 1850322405 Enrollment ID: I20060626000181 |
| Provider Name | Leonard D Rutberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730229014 PECOS PAC ID: 9436217825 Enrollment ID: I20081029000650 |
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