Provider Demographics
NPI:1982429445
Name:YANG, CHI-AO
Entity type:Individual
Prefix:
First Name:CHI-AO
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MCCULLOUGH DR STE 135
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-4389
Mailing Address - Country:US
Mailing Address - Phone:800-218-1405
Mailing Address - Fax:571-520-0281
Practice Address - Street 1:416 MCCULLOUGH DR STE 135
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4389
Practice Address - Country:US
Practice Address - Phone:800-218-1405
Practice Address - Fax:571-520-0281
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007622171100000X
NCLAC-2280171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist