MEDICARE: DR. ALARICK KUAN-HAU YUNG M.D.

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	207R00000X	Internal Medicine Physician	213175	MA
2	208600000X	Surgery Physician	A98980	CA
3	2086S0105X	Surgery of the Hand (Surgery) Physician	A98980	CA

General Provider Information

NPI Number	:	1780646372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALARICK KUAN-HAU YUNG M.D.

Provider Business Mailing Address
First Line	:	16055 VENTURA BLVD
Second Line	:	#120
City	:	ENCINO
State	:	CA
Zip	:	91436-2601
Country	:	US
Telephone Number	:	818-386-5575
Fax Number	:	818-386-1999

Provider Business Practice Location Address
First Line	:	16055 VENTURA BLVD
Second Line	:	#120
City	:	ENCINO
State	:	CA
Zip	:	91436-2601
Country	:	US
Telephone Number	:	818-386-5575
Fax Number	:	818-386-1999

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	06/09/2025

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