{
"Npi": {
"NPI": "1619241452",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YU",
"FirstName": "YANG",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "24307 MAGIC MOUNTAIN PKWY STE 313",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VALENCIA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91355-3402",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-380-7751",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23823 VALENCIA BLVD STE 150",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALENCIA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91355-9509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "661-380-7751",
"PracticeLocationAddressFaxNumber": "661-380-7855",
"EnumerationDate": "02/24/2012",
"LastUpdateDate": "05/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207N00000X",
"TaxonomyName": "Dermatology Physician",
"LicenseNumber": "160778",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}