Basic Information
| Provider Information | |||||||||
| NPI: | 1225622285 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YANG | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | TENG | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3433 W. SHAW AVE #102 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5595584051 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 E 13TH ST STE D | ||||||||
| Address2: | |||||||||
| City: | MERCED | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953416211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093861096 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2021 | ||||||||
| LastUpdateDate: | 09/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/16/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | 683178 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.