Individual
JACK M YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3129 N RAINBOW BLVD, LAS VEGAS, NV 89108-4578
(725) 220-8457
(833) 749-0355
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17243
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V74495
MEDICARE
NV
Enumeration date
03/26/2014
Last updated
02/12/2026
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