Healthcare Provider Details

I. General information

NPI: 1578986501
Provider Name (Legal Business Name): DR. VOYHUNG YIK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2014
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 E CARSON ST
LONG BEACH CA
90807-3044
US

IV. Provider business mailing address

2250 E CARSON ST
LONG BEACH CA
90807-3044
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-0201
  • Fax: 562-492-9884
Mailing address:
  • Phone: 562-490-0201
  • Fax: 562-492-9884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48185
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: