Healthcare Provider Details

I. General information

NPI: 1588803639
Provider Name (Legal Business Name): YSS HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 W CENTRAL AVE STE 112
SANTA ANA CA
92707-3100
US

IV. Provider business mailing address

1155 W CENTRAL AVE STE 112
SANTA ANA CA
92707-3100
US

V. Phone/Fax

Practice location:
  • Phone: 714-241-8828
  • Fax: 714-241-1881
Mailing address:
  • Phone: 714-241-8828
  • Fax: 714-241-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHEETAL AMIN
Title or Position: CEO
Credential:
Phone: 714-469-8261