Provider Demographics
NPI:1619009404
Name:CHEN, YUNG-KUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:YUNG-KUANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YUNG
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10050 BUBB RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-4132
Mailing Address - Country:US
Mailing Address - Phone:408-996-3376
Mailing Address - Fax:408-996-3136
Practice Address - Street 1:10050 BUBB RD
Practice Address - Street 2:SUITE #1
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-4132
Practice Address - Country:US
Practice Address - Phone:408-996-3376
Practice Address - Fax:408-996-3136
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine