Basic Information
Provider Information
NPI: 1780646372
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YUNG
FirstName: ALARICK
MiddleName: KUAN-HAU
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16055 VENTURA BLVD
Address2: #120
City: ENCINO
State: CA
PostalCode: 914362601
CountryCode: US
TelephoneNumber: 8183865575
FaxNumber: 8183861999
Practice Location
Address1: 16055 VENTURA BLVD
Address2: #120
City: ENCINO
State: CA
PostalCode: 914362601
CountryCode: US
TelephoneNumber: 8183865575
FaxNumber: 8183861999
Other Information
ProviderEnumerationDate: 04/06/2006
LastUpdateDate: 02/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0105XA98980CAY Allopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
208600000XA98980CAN Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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