| Marcos Yang, M. D. Inc. | |
|
310 Tejon Pl Palos Verdes Estates CA 90274-1204 | |
| (310) 375-2403 | |
| (310) 375-9652 |
| Full Name | Marcos Yang, M. D. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Tejon Pl, Palos Verdes Estates, California |
| Authorized Official Name and Position | Marcos Y Yang (PRESIDENT) |
| Authorized Official Contact | 3103752403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcos Yang, M. D. Inc. 310 Tejon Pl Palos Verdes Estates CA 90274-1204 Ph: (310) 375-2403 | Marcos Yang, M. D. Inc. 310 Tejon Pl Palos Verdes Estates CA 90274-1204 Ph: (310) 375-2403 |
| NPI Number | 1982908463 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 5395933808 |
|---|---|
| Medicare Enrollment ID | O20101228000852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982908463 | NPI | - | NPPES |
| 05D0548628 | Other | CA | CLIA |
| 00A490350 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A49035 (California) | Primary |
| Provider Name | Marcos Y Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023087392 PECOS PAC ID: 3173601788 Enrollment ID: I20101228000907 |
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