Provider Demographics
NPI:1477071587
Name:KATHY YU-SYKEN, MD INC A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:KATHY YU-SYKEN, MD INC A MEDICAL CORPORATION
Other - Org Name:OCEANN ENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:YU-SYKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-343-3974
Mailing Address - Street 1:17742 BEACH BLVD STE 355
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6854
Mailing Address - Country:US
Mailing Address - Phone:714-375-4224
Mailing Address - Fax:714-375-4231
Practice Address - Street 1:17742 BEACH BLVD STE 345
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6872
Practice Address - Country:US
Practice Address - Phone:714-444-3448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-08
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109401207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric OtolaryngologyGroup - Single Specialty