1396472726 NPI number — MS. YIN YAN HUNG

Table of content: MS. YIN YAN HUNG (NPI 1396472726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396472726 NPI number — MS. YIN YAN HUNG

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNG
Provider First Name:
YIN YAN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396472726
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/13/2023
NPI Reactivation Date:
08/28/2023

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1385 MISSION STREET
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-864-7833
Provider Business Mailing Address Fax Number:
415-864-7093

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 DASHIELL HAMMETT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-477-7294
Provider Business Practice Location Address Fax Number:
877-227-2087
Provider Enumeration Date:
08/05/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 172V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: AMFT140581 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)