Provider Demographics
NPI:1679379309
Name:JOHNSON, CHIH CHIAO YANG
Entity type:Individual
Prefix:
First Name:CHIH CHIAO
Middle Name:YANG
Last Name:JOHNSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 RESERVE CIR UNIT 403
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3065
Mailing Address - Country:US
Mailing Address - Phone:831-917-6483
Mailing Address - Fax:
Practice Address - Street 1:2085 RESERVE CIR UNIT 403
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-3065
Practice Address - Country:US
Practice Address - Phone:831-917-6483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter