Provider Demographics
NPI:1982497632
Name:YANG, ALICE JOY
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:JOY
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 COUNTRY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4925
Mailing Address - Country:US
Mailing Address - Phone:626-257-8207
Mailing Address - Fax:
Practice Address - Street 1:2001 COUNTRY CANYON RD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4925
Practice Address - Country:US
Practice Address - Phone:626-257-8207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program