Individual
BENJAMIN KATTLE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7117 BROCKTON AVE., RIVERSIDE, CA 92506-3912
(951) 782-3696
(951) 784-3264
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3696
(951) 784-3264
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A98679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GROUP NPI
CA
01
—
A98679
MEDICAL LICENSE NUMBER
CA
Enumeration date
04/20/2007
Last updated
04/11/2025
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