Individual
MS. YICHUN MICHELLE FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2716 OCEAN PARK BLVD, SUITE 3082, SANTA MONICA, CA 90405-5207
(310) 345-3818
(310) 314-2414
Mailing address
2716 OCEAN PARK BLVD, SUITE 3082, SANTA MONICA, CA 90405-5207
(310) 345-3818
(310) 314-2414
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
18462
CA
163WG0000X
General Practice Registered Nurse
680110
CA
Other
Enumeration date
01/06/2009
Last updated
01/07/2009
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