Provider Demographics
NPI:1376981753
Name:YINGLING, SUNNY (RD, CSSD)
Entity Type:Individual
Prefix:
First Name:SUNNY
Middle Name:
Last Name:YINGLING
Suffix:
Gender:F
Credentials:RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 N CEDAR AVE
Mailing Address - Street 2:STE. 109
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4833
Mailing Address - Country:US
Mailing Address - Phone:559-433-1120
Mailing Address - Fax:559-433-1102
Practice Address - Street 1:8525 N CEDAR AVE
Practice Address - Street 2:STE. 109
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4833
Practice Address - Country:US
Practice Address - Phone:559-433-1120
Practice Address - Fax:559-433-1102
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA989732133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered