Healthcare Provider Details

I. General information

NPI: 1700790722
Provider Name (Legal Business Name): YUYANG DUAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 OAKLEAF CT
CHINO HILLS CA
91709-2403
US

IV. Provider business mailing address

3221 OAKLEAF CT
CHINO HILLS CA
91709-2403
US

V. Phone/Fax

Practice location:
  • Phone: 626-203-5707
  • Fax:
Mailing address:
  • Phone: 626-203-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36395
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: