Healthcare Provider Details

I. General information

NPI: 1164171252
Provider Name (Legal Business Name): SUNSHINE YANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 MERCY AVE
MERCED CA
95340-8319
US

IV. Provider business mailing address

6212 25TH ST
SACRAMENTO CA
95822-3707
US

V. Phone/Fax

Practice location:
  • Phone: 209-564-5000
  • Fax:
Mailing address:
  • Phone: 559-352-3841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: