Provider Demographics
NPI:1588767008
Name:YANG, PHILIP Z (LAC)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:Z
Last Name:YANG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 DE GUIGNE DR. #201
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085
Mailing Address - Country:US
Mailing Address - Phone:408-733-6678
Mailing Address - Fax:408-733-3610
Practice Address - Street 1:441 DE GUIGNE DR. #201
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085
Practice Address - Country:US
Practice Address - Phone:408-733-6678
Practice Address - Fax:408-733-3610
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8874171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist