Provider Demographics
NPI:1215033204
Name:YANG, CHUN ESTHER (MD)
Entity type:Individual
Prefix:DR
First Name:CHUN
Middle Name:ESTHER
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25033
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92799-5033
Mailing Address - Country:US
Mailing Address - Phone:714-347-1000
Mailing Address - Fax:714-647-1243
Practice Address - Street 1:681 S PARKER ST STE 150
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4761
Practice Address - Country:US
Practice Address - Phone:714-744-0900
Practice Address - Fax:714-744-9232
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83219207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G832190OtherBLUE SHIELD ID #
CA00G832190385OtherCALOPTIMA ID #
CA00G832190Medicaid
CA050079947OtherRAILROAD MEDICARE ID #
CAWG83219CMedicare ID - Type UnspecifiedMEDICARE ID #