Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore E Yang, DPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1649305145

Theodore E Yang, DPT, OCS, CSCS is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2005, 21 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
21
Licensed in
CA, MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone: (323) 857-2458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30447 (CA)
Physical Therapist Taxonomy 225100000X · Licence 17691 (MA)

Record details

NPI number1649305145
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , CSCS
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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