Healthcare Provider Details

I. General information

NPI: 1710206503
Provider Name (Legal Business Name): STACEY HANNAH GUNN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STACEY GUNN YANG MD

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 TECHNOLOGY DR STE 100
IRVINE CA
92618-1350
US

IV. Provider business mailing address

530 TECHNOLOGY DR STE 100
IRVINE CA
92618-1350
US

V. Phone/Fax

Practice location:
  • Phone: 213-375-4070
  • Fax:
Mailing address:
  • Phone: 213-375-4070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA127199
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number01095851A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number94037
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD.60420664
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number36.173784
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number262227
License Number StateNY
# 7
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number56272
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD-25122-0
License Number StateHI
# 9
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number262076
License Number StateMA
# 10
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberV6176
License Number StateTX
# 11
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number25IA12546700
License Number StateNJ
# 12
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME172176
License Number StateFL
# 13
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number35C.002315
License Number StateOH
# 14
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number2025-01000
License Number StateNC
# 15
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberMD224025
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: