Yang, Russell

Yang, Russell is an sole proprietor health care provider with primary practice located at 1650 Liliha St Ste 101 , Honolulu HI 96817-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Yang, Russell can be contacted via phone (808) 376-2100.

Contact Information

Primary practice address
1650 Liliha St Ste 101 Honolulu HI 96817-3169
Phone: (808) 376-2100
Fax: (808) 465-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-121941 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16824 Hawaii

Profile Details

NPI number 1518993229
LBN Legal business name Yang, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Apr 25th, 2018 - 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 1518993229 NPPES
California Other 00A462490197 CAL OPTIMA
California MEDICAID 00A462490 CAL OPTIMA
California MEDICAID 036121941 CAL OPTIMA
California Other CE1617 CAL OPTIMA
California Other GR0016910 CAL OPTIMA
California Other 00A462490 CAL OPTIMA
California Other 110069446 CAL OPTIMA
California Other 1356390009 CAL OPTIMA
California Other W11675 CAL OPTIMA

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