=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588803639
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YSS HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2009
-----------------------------------------------------
Last Update Date | 11/06/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1155 W CENTRAL AVE STE 112
-----------------------------------------------------
City | SANTA ANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92707-3100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-241-8828
-----------------------------------------------------
Fax | 714-241-1881
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1155 W CENTRAL AVE STE 112
-----------------------------------------------------
City | SANTA ANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92707-3100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-241-8828
-----------------------------------------------------
Fax | 714-241-1881
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | SHEETAL AMIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 714-469-8261
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------