Provider Demographics
NPI:1154761815
Name:TSENG, YIYUN CAROL (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:YIYUN
Middle Name:CAROL
Last Name:TSENG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 PILGRIM WAY APT 5
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-4498
Mailing Address - Country:US
Mailing Address - Phone:626-321-1216
Mailing Address - Fax:
Practice Address - Street 1:1401 NEW STINE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3530
Practice Address - Country:US
Practice Address - Phone:661-834-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2013-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13444225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist