Healthcare Provider Details

I. General information

NPI: 1790873594
Provider Name (Legal Business Name): HUNG-CHUEN YEUNG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15940 HALLIBURTON RD
HACIENDA HEIGHTS CA
91745-3505
US

IV. Provider business mailing address

15940 HALLIBURTON RD
HACIENDA HEIGHTS CA
91745-3505
US

V. Phone/Fax

Practice location:
  • Phone: 626-968-2442
  • Fax: 626-968-1191
Mailing address:
  • Phone: 626-968-2442
  • Fax: 626-968-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA41848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: