Yang, Jack C

Yang, Jack C is an individual health care provider with primary practice located at 4033 3Rd Ave Suite 420, San Diego CA 92103-2117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Yang, Jack C can be contacted via phone (619) 548-0450.

Contact Information

Primary practice address
4033 3Rd Ave Suite 420 San Diego CA 92103-2117
Phone: (619) 548-0450
Fax: (888) 900-0442
Website:
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Health care specialties

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

Profile Details

NPI number 1952365025
LBN Legal business name Yang, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jan 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952365025 NPPES
California MEDICAID 00G730020

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