SearchCalifornia207RI0011X

Tae Yang, M.D

NPI 1821262072 · on the registry since 2008

Practice

Address
18111 Brookhurst St Ste 5100
Fountain Valley, CA 92708
Phone
(714) 546-2238
Fax
(714) 434-8145
Organisation at this address
Leport
Ancova Inc.
Civitas Med
Mindful Glow
Andy Le Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
207RI0011X
207RI0011X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California