Individual
JAE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17100 EUCLID ST, FOUNTAIN VALLEY, CA 92708-4004
(714) 979-1211
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A29527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A295271
—
CA
Enumeration date
02/14/2007
Last updated
07/09/2007
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