Healthcare Provider Details

I. General information

NPI: 1225215072
Provider Name (Legal Business Name): LUCY YEUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STATE STREET LAC USC MEDICAL CENTER
LOS ANGELES CA
90033
US

IV. Provider business mailing address

BOX 4007 VANTAGE MEDICAL BILLING
DIAMOND BAR CA
91765
US

V. Phone/Fax

Practice location:
  • Phone: 323-226-4597
  • Fax: 323-226-4597
Mailing address:
  • Phone: 626-964-6352
  • Fax: 626-964-6352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA44110
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: