Basic Information
| Provider Information | |||||||||
| NPI: | 1922360205 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YONG | ||||||||
| FirstName: | SABRINA | ||||||||
| MiddleName: | SU | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 N SEPULVEDA BLVD STE 210 | ||||||||
| Address2: | |||||||||
| City: | MANHATTAN BCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902666849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103792134 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 300 W HUNTINGTON DR | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 910073402 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6265743442 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2012 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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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 | 207R00000X | A134212 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.