Basic Information
Provider Information
NPI: 1508985243
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YUNG
FirstName: KATHERINE
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 450 SUTTER ST RM 933
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941083997
CountryCode: US
TelephoneNumber: 4153625443
FaxNumber: 4152404022
Practice Location
Address1: 450 SUTTER ST STE 1139
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941084206
CountryCode: US
TelephoneNumber: 4158398639
FaxNumber: 4158398669
Other Information
ProviderEnumerationDate: 03/27/2007
LastUpdateDate: 02/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XBY9232389MON Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000XA102733CAY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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