Provider Demographics
NPI:1548470206
Name:YANG, SHENGBIN I (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:SHENGBIN
Middle Name:
Last Name:YANG
Suffix:I
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:MR
Other - First Name:LUKE
Other - Middle Name:
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 W. ROUTE 66
Mailing Address - Street 2:SUITE 217
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740
Mailing Address - Country:US
Mailing Address - Phone:626-963-6810
Mailing Address - Fax:626-963-6852
Practice Address - Street 1:130 W. ROUTE 66
Practice Address - Street 2:SUITE 217
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740
Practice Address - Country:US
Practice Address - Phone:626-963-6810
Practice Address - Fax:626-963-6852
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8387171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist