Provider Demographics
NPI:1285714618
Name:YANG, JOSEPHINE C (PH D)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:C
Last Name:YANG
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:18051 CRENSHAW BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5142
Mailing Address - Country:US
Mailing Address - Phone:310-347-1618
Mailing Address - Fax:310-324-4531
Practice Address - Street 1:2050 W CHAPMAN AVE STE 282
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2696
Practice Address - Country:US
Practice Address - Phone:310-347-1618
Practice Address - Fax:310-324-4531
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16365103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical