Healthcare Provider Details

I. General information

NPI: 1730248899
Provider Name (Legal Business Name): MR. YONGJIN HOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 MORSE AVE
SACRAMENTO CA
95825-2115
US

IV. Provider business mailing address

214 CENTERVIEW DR
BRENTWOOD TN
37027-5274
US

V. Phone/Fax

Practice location:
  • Phone: 916-973-6847
  • Fax: 916-973-5611
Mailing address:
  • Phone: 615-345-5390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: