Individual
ADDISON YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804-3233
(562) 344-1140
Mailing address
4500 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804-3233
(562) 344-1140
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2015
Last updated
05/02/2025
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