Healthcare Provider Details

I. General information

NPI: 1215708565
Provider Name (Legal Business Name): YUYUN HE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 N GLASSELL ST STE B
ORANGE CA
92865-1080
US

IV. Provider business mailing address

6495 MARIGOLD ST
EASTVALE CA
92880-9689
US

V. Phone/Fax

Practice location:
  • Phone: 626-828-2277
  • Fax:
Mailing address:
  • Phone: 626-828-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: