Yang, Russell
Yang, Russell is an sole proprietor health care provider with primary practice located at 1650 Liliha St Ste 101 , Honolulu HI 96817-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Yang, Russell can be contacted via phone (808) 376-2100.Contact Information
Primary practice address
1650 Liliha St Ste 101
Honolulu HI 96817-3169
Phone: (808) 376-2100
Fax: (808) 465-3200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-121941 | Illinois |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 16824 | Hawaii |
Profile Details
| NPI number | 1518993229 |
|---|---|
| LBN Legal business name | Yang, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Apr 25th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518993229 | NPPES |
| California | Other | 00A462490197 | CAL OPTIMA |
| California | MEDICAID | 00A462490 | CAL OPTIMA |
| California | MEDICAID | 036121941 | CAL OPTIMA |
| California | Other | CE1617 | CAL OPTIMA |
| California | Other | GR0016910 | CAL OPTIMA |
| California | Other | 00A462490 | CAL OPTIMA |
| California | Other | 110069446 | CAL OPTIMA |
| California | Other | 1356390009 | CAL OPTIMA |
| California | Other | W11675 | CAL OPTIMA |
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