Jack C Yang Md A Medical Corporation

LBN: Jack C Yang Md A Medical Corporation
Jack C Yang Md A Medical Corporation is an health care organization with primary practice located at 4033 3Rd Ave Suite 204, San Diego CA 92103-2117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Jack C Yang Md A Medical Corporation can be contacted via phone (619) 255-1440, or through Yang, Jack C via phone (619) 255-1440.

Contact Information

Primary practice address
4033 3Rd Ave Suite 204 San Diego CA 92103-2117
Phone: (619) 255-1440
Fax: (888) 900-0442
Website:
Map and Directions
Authorized official contact:
Name: Yang, Jack C
Phone: (619) 255-1440

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G73002 California

Profile Details

NPI number 1306801188
LBN Legal business name Jack C Yang Md A Medical Corporation
DBA Doing business as
Authorized official Yang, Jack C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 14th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306801188 NPPES
California MEDICAID 00G730022

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