Healthcare Provider Details

I. General information

NPI: 1588594386
Provider Name (Legal Business Name): SUNCHAE YI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N 3RD ST # 169
BURBANK CA
91502-1202
US

IV. Provider business mailing address

221 N 3RD ST # 169
BURBANK CA
91502-1202
US

V. Phone/Fax

Practice location:
  • Phone: 530-400-6389
  • Fax:
Mailing address:
  • Phone: 530-400-6389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: