Provider Demographics
NPI:1548309719
Name:YANG, DA PENG (ACUPUNCTRIST)
Entity type:Individual
Prefix:
First Name:DA PENG
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:ACUPUNCTRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 S GARFIELD AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4710
Mailing Address - Country:US
Mailing Address - Phone:626-281-0708
Mailing Address - Fax:
Practice Address - Street 1:1013 S GARFIELD AVE STE A
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4710
Practice Address - Country:US
Practice Address - Phone:626-281-0708
Practice Address - Fax:626-281-5331
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC0056720171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist