Healthcare Provider Details

I. General information

NPI: 1902807597
Provider Name (Legal Business Name): ALBERT S YEUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8311 FLORENCE AVE
DOWNEY CA
90240
US

IV. Provider business mailing address

8311 FLORENCE AVE
DOWNEY CA
90240
US

V. Phone/Fax

Practice location:
  • Phone: 562-923-4911
  • Fax: 562-904-2024
Mailing address:
  • Phone: 562-923-4911
  • Fax: 562-904-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA30002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: