Provider Demographics
NPI:1215232756
Name:ALLAN K YUNG MD., INC
Entity Type:Organization
Organization Name:ALLAN K YUNG MD., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:YUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-576-1982
Mailing Address - Street 1:103 N GARFIELD AVE
Mailing Address - Street 2:#A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3555
Mailing Address - Country:US
Mailing Address - Phone:626-576-1982
Mailing Address - Fax:626-576-0148
Practice Address - Street 1:103 N GARFIELD AVE
Practice Address - Street 2:#A
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3555
Practice Address - Country:US
Practice Address - Phone:626-576-1982
Practice Address - Fax:626-576-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG13418174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831269323OtherNPI TYPE 1
CA00G13418Medicaid
CA00G13418Medicaid