Provider Demographics
NPI:1912232729
Name:JAMES Z. YANG, DDS, PC
Entity type:Organization
Organization Name:JAMES Z. YANG, DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:Z
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-662-7128
Mailing Address - Street 1:1204 COTTONWOOD ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-4362
Mailing Address - Country:US
Mailing Address - Phone:530-662-7128
Mailing Address - Fax:530-662-8819
Practice Address - Street 1:1204 COTTONWOOD ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-4362
Practice Address - Country:US
Practice Address - Phone:530-662-7128
Practice Address - Fax:530-662-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58720261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental