Provider Demographics
NPI:1699878561
Name:YANG, CHUNLIN (MD)
Entity type:Individual
Prefix:
First Name:CHUNLIN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9815 PENBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6666
Mailing Address - Country:US
Mailing Address - Phone:916-797-3884
Mailing Address - Fax:916-797-0509
Practice Address - Street 1:1899 E. ROSEVILLE PKWY.,
Practice Address - Street 2:SUITE 140
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-7979
Practice Address - Country:US
Practice Address - Phone:916-797-0525
Practice Address - Fax:916-797-0509
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA675292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry