Provider Demographics
NPI:1225215072
Name:YEUNG, LUCY (MD)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:
Last Name:YEUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 4007
Mailing Address - Street 2:VANTAGE MEDICAL BILLING
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:626-964-6352
Mailing Address - Fax:626-964-6352
Practice Address - Street 1:1200 N STATE STREET
Practice Address - Street 2:LAC USC MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-226-4597
Practice Address - Fax:323-226-4597
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA44110207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC35569Medicare UPIN