Individual
DR. PETER J. YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8881 FLETCHER PARKWAY #102, LA MESA, CA 91942
(619) 461-1830
(619) 797-1484
Mailing address
7777 ALVARADO RD #108, LA MESA, CA 91942
(619) 460-2770
(619) 460-2774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G577480
BLUE SHIELD PIN
CA
05
—
00G577480
—
CA
01
—
300015056
RAILROAD MEDICARE PIN
CA
Enumeration date
05/25/2006
Last updated
02/17/2011
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