Provider Demographics
NPI:1740085851
Name:SOCAL PRO HEALTH, LLC
Entity type:Organization
Organization Name:SOCAL PRO HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASENG
Authorized Official - Middle Name:
Authorized Official - Last Name:YANN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:562-342-9066
Mailing Address - Street 1:610 PACIFIC COAST HWY. #205
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740
Mailing Address - Country:US
Mailing Address - Phone:562-342-9066
Mailing Address - Fax:
Practice Address - Street 1:610 PACIFIC COAST HWY. #205
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740
Practice Address - Country:US
Practice Address - Phone:562-342-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty