MEDICARE: SUNCHAE YI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1588594386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNCHAE YI

Provider Business Mailing Address
First Line	:	221 N 3RD ST # 169
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1202
Country	:	US
Telephone Number	:	530-400-6389
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 N 3RD ST # 169
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1202
Country	:	US
Telephone Number	:	530-400-6389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “ SUNCHAE YI ” Practice Location

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