Healthcare Provider Details

I. General information

NPI: 1548470206
Provider Name (Legal Business Name): LUKE YOUNG I ACUPUNCTURIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MR. SHENGBIN YANG

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 GROVE AVE STE B
UPLAND CA
91786-8183
US

IV. Provider business mailing address

79 GROVE AVE STE B
UPLAND CA
91786-8183
US

V. Phone/Fax

Practice location:
  • Phone: 909-204-2835
  • Fax:
Mailing address:
  • Phone: 626-272-3639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number8387
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: