Healthcare Provider Details

I. General information

NPI: 1063123651
Provider Name (Legal Business Name): YEE WAH EVA EVA HUIE LMT, CMT, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 E GREEN ST
PASADENA CA
91101-2117
US

IV. Provider business mailing address

35127 FOREST LN
YUCAIPA CA
92399-3110
US

V. Phone/Fax

Practice location:
  • Phone: 646-220-2138
  • Fax:
Mailing address:
  • Phone: 646-220-2138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20477
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number77124
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number022192
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: