Healthcare Provider Details

I. General information

NPI: 1407652571
Provider Name (Legal Business Name): YUNGFENG HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 E RINCON ST STE 204
CORONA CA
92879-1379
US

IV. Provider business mailing address

1401 HEATHERTON AVE
ROWLAND HEIGHTS CA
91748-2142
US

V. Phone/Fax

Practice location:
  • Phone: 910-405-8250
  • Fax: 951-213-6189
Mailing address:
  • Phone: 626-905-0299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99665
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number99665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: