MEDICARE: XIAOYUN YANG PENG PHARMD

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	183500000X	Pharmacist	68462	CA
2	183500000X	Pharmacist	3345	HI

General Provider Information

NPI Number	:	1811397086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOYUN YANG PENG PHARMD

Provider Business Mailing Address
First Line	:	6367 MARBELLA LN
Second Line	:
City	:	EASTVALE
State	:	CA
Zip	:	91752-7313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 S D ST STE 230
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-3253
Country	:	US
Telephone Number	:	909-884-5555
Fax Number	:

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

Provider Enumeration Date	:	08/25/2014
Last Update Date	:	04/01/2015

Similar Medicare Providers

1811820608 — DR. THELMA YESENIA GAMBOA-MALDONADO DRPH, MPH, CHW
Practice Location Address:

1535 S D ST
SAN BERNARDINO, CA
92408-3253

Practice Phone: 909-884-3735
Practice Fax:

1710810460 — GEOVANNY PELAYO
Practice Location Address:

1535 S D ST
SAN BERNARDINO, CA
92408-3253

Practice Phone: 909-884-3735
Practice Fax:

1770848566 — RESOURCE PHARMACY, INC
Practice Location Address:

1535 S D ST , SUITE 230
SAN BERNARDINO, CA
92408-3253

Practice Phone: 909-884-5555
Practice Fax: 909-884-5454

1275939597 — SOOJUNG JEONG L.AC.
Practice Location Address:

1535 S D ST , STE108
SAN BERNARDINO, CA
92408-3253

Practice Phone: 909-783-9400
Practice Fax:

1750788451 — SZU TING CHEN PHARM.D.
Practice Location Address:

1535 S D ST , 230
SAN BERNARDINO, CA
92408-3253

Practice Phone: 909-884-5555
Practice Fax:

1982083150 — R ROLAND LOPEZ, M.D., INC.
Practice Location Address:

1535 S D ST , SUITE 240
SAN BERNARDINO, CA
92408-3253

Practice Phone: 714-963-9595
Practice Fax:

Directions to “ XIAOYUN YANG PENG PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.