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Organization
EVERGREEN CERRITOS MEDICAL GROUP, INC.
Active
Organization
EVERGREEN CERRITOS MEDICAL GROUP, INC.
Active
Other names
Dr. Hung-Chuen Yeung Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUNG-CHUEN YEUNG M.D. (PRESIDENT)
(626) 968-2442
Entity
Organization
Contact information
Practice address
15940 HALLIBURTON RD, HACIENDA HEIGHTS, CA 91745-3505
(626) 968-2442
(626) 968-1191
Mailing address
15940 HALLIBURTON RD, HACIENDA HEIGHTS, CA 91745-3505
(626) 968-2442
(626) 968-1191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056340
—
CA
Enumeration date
01/24/2007
Last updated
08/22/2020
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