Individual provider · Type 1 NPI

Kong Yang, STUDENT

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1063777548 Active

Practice location

4879 E Kings Canyon Rd
Fresno, CA 93727-3811

Mailing address

5840 E Dayton Ave
Fresno, CA 93727-8030

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063777548

Kong Yang, STUDENT's National Provider Identifier is 1063777548, issued on Jul 10, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Jul 10, 2012.