Yungnan Beak, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Marina, CA
NPI 1114765351 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1114765351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- 590217 (CA)
- Practice address
- VA Outpatient Clinic 201 9TH Street
Marina, CA 93933 - Phone
- (831) 884-1166
- NPI assigned
- Jul 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590217 | CA | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 590217 | CA | Yes |
Addresses
Primary practice location
VA Outpatient Clinic 201 9TH Street
Marina, CA 93933
Mailing address
VA Outpatient Clinic 201 9TH Street
Marina, CA 93933
Other providers in Marina, CA
- Florencia Gentinetta Baldwin
- Janet Hernandez Barajas
- Jose Francisco Barajas
- Derrick Jay Barnes
- Megan Bartlett
- Dia Beltran
- Jose Beltran
- Samuel Mark Bernhisel
- Gabriela Berteaud
- Mary Black
All providers in Marina, CA · Ambulatory Care Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.