Provider Demographics
NPI:1396251039
Name:YANG, I-HUI
Entity type:Individual
Prefix:
First Name:I-HUI
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 W COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-2010
Mailing Address - Country:US
Mailing Address - Phone:626-331-0175
Mailing Address - Fax:269-673-3846
Practice Address - Street 1:171 W COTTAGE DR
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2010
Practice Address - Country:US
Practice Address - Phone:626-331-0175
Practice Address - Fax:626-967-3849
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily