Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A113792 | CA |
NPI | 1003040270 |
---|---|
Provider Name | Kar-Wai Yung |
First Address | Loma Linda, CA 92354-3110 |
Second Address | San Bernardino, CA 92411-1160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2009 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A113792 | CA LICENSE (01) | CA |