Provider Demographics
NPI:1982722369
Name:PHAN YEUNG, JULIA NHUNG (OD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:NHUNG
Last Name:PHAN YEUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:NHUNG
Other - Last Name:PHAN DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:17191 BLACK WALNUT CT
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886
Mailing Address - Country:US
Mailing Address - Phone:714-878-8227
Mailing Address - Fax:562-697-9330
Practice Address - Street 1:1340 S. BEACH BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631
Practice Address - Country:US
Practice Address - Phone:562-697-9223
Practice Address - Fax:562-697-9330
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13103T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist