Provider Demographics
NPI:1851747851
Name:YANG, HEE SUN
Entity Type:Individual
Prefix:
First Name:HEE SUN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7860 IMPERIAL HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3464
Mailing Address - Country:US
Mailing Address - Phone:562-869-8877
Mailing Address - Fax:562-869-0033
Practice Address - Street 1:17806 PIONEER BLVD STE 105
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-4426
Practice Address - Country:US
Practice Address - Phone:562-281-9342
Practice Address - Fax:844-203-8013
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17128171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist