Provider Demographics
NPI:1205017704
Name:YANG, HSUN YU
Entity Type:Individual
Prefix:
First Name:HSUN
Middle Name:YU
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 K ST
Mailing Address - Street 2:APT. # 13
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-4233
Mailing Address - Country:US
Mailing Address - Phone:530-220-5694
Mailing Address - Fax:
Practice Address - Street 1:320 K ST
Practice Address - Street 2:APT. # 13
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4233
Practice Address - Country:US
Practice Address - Phone:530-220-5694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker