MEDICARE: CATHY CHERRY YUZNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	122578	CA

General Provider Information

NPI Number	:	1225549835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY CHERRY YUZNA

Provider Business Mailing Address
First Line	:	1626 WILCOX AVE # 244
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6206
Country	:	US
Telephone Number	:	323-344-2590
Fax Number	:

Provider Business Practice Location Address
First Line	:	1626 WILCOX AVE # 244
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-6206
Country	:	US
Telephone Number	:	323-344-2590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	05/17/2026

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