Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 41153 | CA |
Y | 213EG0000X | General Practice | 41153 | CA |
NPI | 1003946419 |
---|---|
Provider Name | Dr. Hoi S Yueung |
First Address | Canoga Park, CA 91304 |
Second Address | Canoga Park, CA 91304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0147007 | UNITED CONCORDIA (01) | PA |