Provider Demographics
NPI:1124253414
Name:YANG, GUIMEI LINDA (NP)
Entity type:Individual
Prefix:
First Name:GUIMEI
Middle Name:LINDA
Last Name:YANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 SHARON PL
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2915
Mailing Address - Country:US
Mailing Address - Phone:626-354-8218
Mailing Address - Fax:
Practice Address - Street 1:8941 VALLEY BLVD # 201
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1831
Practice Address - Country:US
Practice Address - Phone:626-943-8988
Practice Address - Fax:626-943-8999
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP11541363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health