Provider Demographics
NPI:1194520940
Name:HSIAO-YI YANG, O.D.,INC.
Entity type:Organization
Organization Name:HSIAO-YI YANG, O.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:HSIAO-YI
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:909-767-3379
Mailing Address - Street 1:27 WAGON WHEEL ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPS RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91766-7601
Mailing Address - Country:US
Mailing Address - Phone:909-767-3379
Mailing Address - Fax:
Practice Address - Street 1:1065 BREA MALL SPC 2111A
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5718
Practice Address - Country:US
Practice Address - Phone:714-674-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center