Provider Demographics
NPI:1205042488
Name:MAK, MEI-LENE YONG (RD)
Entity Type:Individual
Prefix:MRS
First Name:MEI-LENE
Middle Name:YONG
Last Name:MAK
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 S CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3125
Mailing Address - Country:US
Mailing Address - Phone:626-284-9455
Mailing Address - Fax:
Practice Address - Street 1:2131 W. THIRD ST. , ST. VINCENT MEDICAL CENTER
Practice Address - Street 2:NUTRITION & FOOD SERVICE DEPT.
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057
Practice Address - Country:US
Practice Address - Phone:213-484-7278
Practice Address - Fax:213-484-7217
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered