MEDICARE: NUPACIFIC WELLNESS AND PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1902751746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUPACIFIC WELLNESS AND PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION

Provider Business Mailing Address
First Line	:	1910 W SUNSET BLVD STE 800
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3283
Country	:	US
Telephone Number	:	714-813-4643
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 W SUNSET BLVD STE 800
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3283
Country	:	US
Telephone Number	:	714-813-4643
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATIE YANG
Credential	:	NP
Telephone Number	:	714-813-4643

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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