Healthcare Provider Details

I. General information

NPI: 1780646372
Provider Name (Legal Business Name): ALARICK KUAN-HAU YUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16055 VENTURA BLVD #120
ENCINO CA
91436-2601
US

IV. Provider business mailing address

16055 VENTURA BLVD #120
ENCINO CA
91436-2601
US

V. Phone/Fax

Practice location:
  • Phone: 818-386-5575
  • Fax: 818-386-1999
Mailing address:
  • Phone: 818-386-5575
  • Fax: 818-386-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number213175
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA98980
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberA98980
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: