MEDICARE: DR. JULIA NHUNG PHAN YEUNG O.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	152W00000X	Optometrist	13103T	CA

General Provider Information

NPI Number	:	1982722369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA NHUNG PHAN YEUNG O.D

Provider Business Mailing Address
First Line	:	17191 BLACK WALNUT CT
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-6237
Country	:	US
Telephone Number	:	714-878-8227
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 S BEACH BLVD
Second Line	:
City	:	LA HABRA
State	:	CA
Zip	:	90631-6374
Country	:	US
Telephone Number	:	562-697-9223
Fax Number	:	562-741-3058

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	12/10/2025

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