MS. YICHUN MICHELLE FANG (NPI# 1225274624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225274624 |
| Entity Type | Individual |
| Full Name | MS. YICHUN MICHELLE FANG |
| Credential | RN |
| Practice Address |
2716 Ocean Park Blvd Suite 3082 Santa Monica CA 90405-5207 |
| Practice Telephone | 3103453818 |
| Practice Fax Number | 3103142414 |
| Mailing Telephone | 3103453818 |
| Mailing Fax Number | 3103142414 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
18462 | CA | Nursing Service Providers |
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
680110 | CA | Nursing Service Providers |
| Street Address |
2716 OCEAN PARK BLVD SUITE 3082 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90405-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225189871 | Aaron Gershon Filler | Neurological Surgery | 2716 Ocean Park Blvd, Suite 3082, Santa Monica, CA 90405-5207 | 2007-01-12 |
| 1295180727 | Lauren Druss | Dietitian, Registered | 2716 Ocean Park Blvd, Suite 3020, Santa Monica, CA 90405-5207 | 2016-05-03 |
| 1891149118 | John Siritaranukul | Dietitian, Registered | 2716 Ocean Park Blvd, Suite 3020, Santa Monica, CA 90405-5207 | 2016-04-22 |
| 1528276946 | Robert M Brook | Psychologist | 2716 Ocean Park Blvd, Suite 3010, Santa Monica, CA 90405-5207 | 2007-05-18 |
| 1871644658 | Neurgraphy Institute Medical Associates Inc. | Radiology | 2716 Ocean Park Blvd, Suite 3075, Santa Monica, CA 90405-5207 | 2007-01-16 |
| 1679624233 | Imagebased Surgicenter Corporation | Clinic/Center | 2716 Ocean Park Blvd, Suite 1007, Santa Monica, CA 90405-5207 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699328476 | Nicole Ryan Harbeck | Marriage & Family Therapist | 2716 Ocean Park Blvd Ste 2007, Santa Monica, CA 90405 | 2019-07-19 |
| 1922664440 | Betty Ann Wise | Counselor | 1865 W. 9th Street, Santa Monica, CA 90405 | 2019-05-10 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1285171371 | Jori Adler Marriage & Family Therapy Prof. Corp. | Marriage & Family Therapist | 3400 Airport Ave Ste 30, Santa Monica, CA 90405 | 2017-01-26 |
| 1376993147 | Damoan Corp. | Speech-Language Pathologist | 2801 Ocean Park Blvd Ste 393, Santa Monica, CA 90405 | 2016-06-13 |
| 1427410034 | Adam Rubio | Clinical Neuropsychologist | 1916 4th Street, Santa Monica, CA 90405 | 2016-03-23 |
| 1760852842 | Yramnna Smith | Behavioral Analyst | 2716 Ocean Park Blvd Ste 1025, Santa Monica, CA 90405 | 2015-10-01 |
| 1689086076 | Cheryl K. Baker | Community Health Worker | 1750 Ocean Park Blvd., Suite 206, Santa Monica, CA 90405 | 2014-05-20 |
| 1629409891 | Dominique M. Delvecchio | Nurse Practitioner | 2716 Ocean Park Blvd. Suite 3082, Institute for Nerve Medicine, Santa Monica, CA 90405 | 2013-12-12 |
| 1639512692 | Nancy Elizabeth Hyland | Marriage & Family Therapist | 1720 Ocean Park Blvd, Suite 200a, Santa Monica, CA 90405 | 2013-04-09 |
| Find all providers in zip 90405 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124281357 | Eliot Richard Ivanhoe | Registered Nurse | 2926 Santa Monica Blvd, Santa Monica, CA 90404 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575123 | St Francis Hospice Inc | Registered Nurse | 14545 Friar St # 298, Van Nuys, CA 91411-2397 | 2020-10-16 |
| 1275130759 | Johanna Solorzano | Registered Nurse | 233 Bennington St, San Francisco, CA 94110-5513 | 2020-10-07 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| 1124632138 | Sarah Anne Boyce | Registered Nurse | 82 N Greenwood Ave, Pasadena, CA 91107-3514 | 2020-09-08 |
| 1750994372 | Rosalyn Lee | Registered Nurse | 410 Crother Rd, Meadow Vista, CA 95722-9431 | 2020-08-24 |
| 1154939163 | Gabriela Carrico | Registered Nurse | 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 | 2020-07-15 |
| 1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90405 |
Please comment or provide details below to improve the information on MS. YICHUN MICHELLE FANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.