Jack C Yang is a Vascular Surgery in San Diego, California. Jack C Yang practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jack C Yang is 1952365025. The last update date is 2017-01-17.
Jack C Yang's current location address is 4077 Fifth Ave, San Diego, California. You can contact this provider via phone number 6195480450 and fax number 8889000442. The mailing address for Jack C Yang is 4077 Fifth Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack C Yang |
|---|---|
| Address | 4077 Fifth Ave, San Diego, California |
| Phone Number | 6195480450 |
| Fax Number | 8889000442 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952365025 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2017-01-17 |
Provider Mailing Address Detail
| Address | 4077 Fifth Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921032105 |
| Phone Number | 6195480450 |
| Fax Number | 8889000442 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G73002 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G730020 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jack C Yang by the Centers for Medicare & Medicaid Services?
The Jack C Yang has been assigned the NPI (National Provider Identifier) 1952365025 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack C Yang?
The Jack C Yang is situated at 4077 Fifth Ave, in the city of San Diego, state of CA, with the zip code 921032105.
What is Jack C Yang's area of expertise and its corresponding taxonomy classification?
The Jack C Yang's field of specialization is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1952365025 to Jack C Yang?
The Centers for Medicare & Medicaid Services assigned the 1952365025 to Jack C Yang on 2006-04-14.
As of what date were the details related to Jack C Yang most recently updated or revised?
The information pertaining to Jack C Yang, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-17.