Provider Demographics
NPI:1720654999
Name:YANG, CHIEH (MD)
Entity type:Individual
Prefix:
First Name:CHIEH
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 GROTE ST APT 202
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-2480
Mailing Address - Country:US
Mailing Address - Phone:909-855-5342
Mailing Address - Fax:
Practice Address - Street 1:2101 N. WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404
Practice Address - Country:US
Practice Address - Phone:909-883-8711
Practice Address - Fax:909-975-5059
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program