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Individual

PHILIP SEUNGWOO YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2586
(714) 432-8885
Mailing address
11100 WARNER AVE STE 158, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2586
(714) 432-8885

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84891
CA
207RN0300X
Nephrology Physician
Primary
A84891
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A84891
CA
Enumeration date
12/08/2006
Last updated
09/16/2019
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