Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 31550 | CA |
Y | 103TC0700X | Clinical Psychologist | 31550 | CA |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1104372697 |
---|---|
Provider Name | Dr. Andy Chung-Wai Ying |
First Address | Duarte, CA 91009-4941 |
Second Address | Los Angeles, CA 90089-1934 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2016 |
Last Update Date | 29/01/2022 |