Healthcare Provider Details

I. General information

NPI: 1518826247
Provider Name (Legal Business Name): BEAUTYSTAR YIM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 CAMINO DEL RIO N STE 201
SAN DIEGO CA
92108-1747
US

IV. Provider business mailing address

7460 MISSION VALLEY RD STE 200
SAN DIEGO CA
92108-4438
US

V. Phone/Fax

Practice location:
  • Phone: 619-507-9333
  • Fax:
Mailing address:
  • Phone: 619-376-6653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: