Basic Information
| Provider Information | |||||||||
| NPI: | 1619102845 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YUNG | ||||||||
| FirstName: | WING SZE | ||||||||
| MiddleName: | ESTHER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WU | ||||||||
| OtherFirstName: | WING SZE | ||||||||
| OtherMiddleName: | ESTHER | ||||||||
| OtherNamePrefix: | |||||||||
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| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 11175 CAMPUS STREET #21111 | ||||||||
| Address2: | LOMA LINDA UNIVERSIY HEALTHCARE SYSTEM | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095584286 | ||||||||
| FaxNumber: | 9095580236 | ||||||||
| Practice Location | |||||||||
| Address1: | 11175 CAMPUS STREET #21111 | ||||||||
| Address2: | LOMA LINDA UNIVERSIY HEALTHCARE SYSTEM | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095584286 | ||||||||
| FaxNumber: | 9095580236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2009 | ||||||||
| LastUpdateDate: | 12/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | A115731 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.