Provider Demographics
NPI:1427809813
Name:YELLOW FOREST LLC
Entity type:Organization
Organization Name:YELLOW FOREST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:TSUNJAN
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC, LCCE, CLC
Authorized Official - Phone:714-584-9449
Mailing Address - Street 1:PO BOX 802
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0802
Mailing Address - Country:US
Mailing Address - Phone:714-584-9449
Mailing Address - Fax:
Practice Address - Street 1:1650 JOHN KING BLVD APT 4206
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6443
Practice Address - Country:US
Practice Address - Phone:714-584-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service