Provider Demographics
NPI:1396818522
Name:YANG, SUNNY YOOSUN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUNNY
Middle Name:YOOSUN
Last Name:YANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11991 MURIETTA LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-4330
Mailing Address - Country:US
Mailing Address - Phone:650-948-5124
Mailing Address - Fax:
Practice Address - Street 1:11991 MURIETTA LN
Practice Address - Street 2:
Practice Address - City:LOS ALTOS HILLS
Practice Address - State:CA
Practice Address - Zip Code:94022-4330
Practice Address - Country:US
Practice Address - Phone:650-948-5124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist