| Tina Yang Md Medical Clinic, Inc | |
|
128 N Oak Knoll Ave Suite 100 Pasadena CA 91101-5638 | |
| (626) 795-3000 | |
| Not Available |
| Full Name | Tina Yang Md Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 128 N Oak Knoll Ave, Pasadena, California |
| Authorized Official Name and Position | Tina Yang (PRESIDENT) |
| Authorized Official Contact | 6267953000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Yang Md Medical Clinic, Inc Po Box 800817 Santa Clarita CA 91380-0817 Ph: (661) 295-0859 | Tina Yang Md Medical Clinic, Inc 128 N Oak Knoll Ave Suite 100 Pasadena CA 91101-5638 Ph: (626) 795-3000 |
| NPI Number | 1588840870 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Medicare PECOS PAC ID | 0547345514 |
|---|---|
| Medicare Enrollment ID | O20080314000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588840870 | NPI | - | NPPES |
| A63620 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A63620 (California) | Primary |
| Provider Name | Tina Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023082740 PECOS PAC ID: 3375628340 Enrollment ID: I20080314000427 |
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