Provider Demographics
NPI:1558798801
Name:YONCEE, ESTEPHANY (MA)
Entity Type:Individual
Prefix:
First Name:ESTEPHANY
Middle Name:
Last Name:YONCEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 E FOOTHILL BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3406
Mailing Address - Country:US
Mailing Address - Phone:626-630-7345
Mailing Address - Fax:661-254-7108
Practice Address - Street 1:2550 E FOOTHILL BLVD STE 140
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3406
Practice Address - Country:US
Practice Address - Phone:626-630-7345
Practice Address - Fax:818-308-6487
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker