Provider Demographics
NPI:1699002014
Name:YANG, TING TING CHRISTINA
Entity type:Individual
Prefix:
First Name:TING TING CHRISTINA
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TING TING
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:630 W 6TH ST APT 502
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-3257
Mailing Address - Country:US
Mailing Address - Phone:310-382-4139
Mailing Address - Fax:
Practice Address - Street 1:630 W 6TH ST APT 502
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3257
Practice Address - Country:US
Practice Address - Phone:310-382-4139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered