DR. BOBBY K. YANG M.D. MEDICAL CLINIC, LLC (NPI# 1932389897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932389897 |
| Entity Type | Organization |
| Organization Name | DR. BOBBY K. YANG M.D. MEDICAL CLINIC, LLC |
| Practice Address |
1047 University Ave W Suite 101 Saint Paul MN 55104-4751 |
| Practice Telephone | 6516465452 |
| Practice Fax Number | 6516465658 |
| Mailing Telephone | 6516465452 |
| Mailing Fax Number | 6516465658 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | NOU THOR (CLINIC MANAGER) |
| Authorized Official Telephone | 6516465452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 43270 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 604682700 | 05 | |
| MN | MEDICARE GROUP | C03699 | 01 |
| Street Address |
1047 UNIVERSITY AVE W SUITE 101 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| 1740849454 | Bilterms Solutions Inc | Clinic/Center | 2430 University Ave W, Saint Paul, MN 55114-1706 | 2019-06-07 |
| 1215334578 | St Paul Clinic LLC | Clinic/Center | 301 University Ave W, Saint Paul, MN 55103-2048 | 2014-12-02 |
| 1518192798 | Family Eyecare Pa | Clinic/Center | 2309 Como Ave, Saint Paul, MN 55108-1723 | 2009-05-18 |
| 1871779595 | Associated Hearing Instruments of St Paul Inc | Clinic/Center | 393 Dunlap St N Ste 115, Saint Paul, MN 55104-4203 | 2008-01-11 |
| 1346302981 | St. Paul Family Medical Center | Clinic/Center | 1239 Payne Ave, Saint Paul, MN 55130 | 2006-12-13 |
| 1942384193 | United Family Practice Health Center | Clinic/Center | 1307 Maynard Dr W, Suite 13, Saint Paul, MN 55116-2930 | 2006-10-24 |
| 1235755349 | Abundant Life Health Coaches, LLC | Clinic/Center | 808 Berry St Apt 237, Saint Paul, MN 55114-1474 | 2020-06-24 |
| 1306470737 | Fairview Clinics | Clinic/Center | 580 Rice St, Saint Paul, MN 55103-2148 | 2020-02-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on DR. BOBBY K. YANG M.D. MEDICAL CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.