Healthcare Provider Details

I. General information

NPI: 1649509167
Provider Name (Legal Business Name): LOUISE Y YEUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2009
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8635 W 3RD ST STE 795W
LOS ANGELES CA
90048-6129
US

IV. Provider business mailing address

8635 W 3RD ST STE 795W
LOS ANGELES CA
90048-6129
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-8350
  • Fax:
Mailing address:
  • Phone: 310-423-8350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA 106518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: