Healthcare Provider Details

I. General information

NPI: 1972420065
Provider Name (Legal Business Name): YANNA SUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S NICHOLSON AVE
MONTEREY PARK CA
91755-2922
US

IV. Provider business mailing address

111 S NICHOLSON AVE
MONTEREY PARK CA
91755-2922
US

V. Phone/Fax

Practice location:
  • Phone: 626-642-2008
  • Fax:
Mailing address:
  • Phone: 626-642-2008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDA-PD-2026-0210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: