Provider Demographics
NPI:1912164682
Name:YANG, YUN-SUN (DC)
Entity Type:Individual
Prefix:DR
First Name:YUN-SUN
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6777 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-3027
Mailing Address - Country:US
Mailing Address - Phone:215-687-7030
Mailing Address - Fax:215-276-1692
Practice Address - Street 1:6777 N 5TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19126-3027
Practice Address - Country:US
Practice Address - Phone:215-687-7030
Practice Address - Fax:215-276-1692
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor