Provider Demographics
NPI:1619102845
Name:YUNG, WING SZE ESTHER (MD)
Entity Type:Individual
Prefix:
First Name:WING SZE
Middle Name:ESTHER
Last Name:YUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WING SZE
Other - Middle Name:ESTHER
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11175 CAMPUS STREET #21111
Mailing Address - Street 2:LOMA LINDA UNIVERSIY HEALTHCARE SYSTEM
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350
Mailing Address - Country:US
Mailing Address - Phone:909-558-4286
Mailing Address - Fax:909-558-0236
Practice Address - Street 1:11175 CAMPUS STREET #21111
Practice Address - Street 2:LOMA LINDA UNIVERSIY HEALTHCARE SYSTEM
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350
Practice Address - Country:US
Practice Address - Phone:909-558-4286
Practice Address - Fax:909-558-0236
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115731208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program