Healthcare Provider Details

I. General information

NPI: 1952618829
Provider Name (Legal Business Name): YVONNE Y HUANG PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 FASHION LN STE 204
TUSTIN CA
92780-3331
US

IV. Provider business mailing address

13202 MYFORD RD APT 238
TUSTIN CA
92782-9110
US

V. Phone/Fax

Practice location:
  • Phone: 949-742-4511
  • Fax:
Mailing address:
  • Phone: 916-346-8554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT293917
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberAT9286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: