Basic Information
Provider Information
NPI: 1427230523
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YANG
FirstName: AMY YI PEI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2285 CORPORATE CIR
Address2: STE 200
City: HENDERSON
State: NV
PostalCode: 890747759
CountryCode: US
TelephoneNumber: 7023602763
FaxNumber: 9497832880
Practice Location
Address1: 1041 E YORBA LINDA BLVD STE 304
Address2:  
City: PLACENTIA
State: CA
PostalCode: 928703751
CountryCode: US
TelephoneNumber: 7149247240
FaxNumber: 7149247247
Other Information
ProviderEnumerationDate: 11/29/2007
LastUpdateDate: 03/21/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ND0900XA133117CAN Allopathic & Osteopathic PhysiciansDermatologyDermatopathology
207ZP0101X51160CON Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
207ZP0101XA133117CAY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology

No ID Information.


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