Evergreen Cerritos Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EVERGREEN CERRITOS MEDICAL GROUP, INC.

Doing business as

Dr. Hung-Chuen Yeung Clinic

Practice address

15940 Halliburton Rd
Hacienda Heights, CA 91745-3505

Phone

(626) 968-2442

Fax

(626) 968-1191

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hung-Chuen Yeung, M.D.

Title

President

Phone

(626) 968-2442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Hung-Chuen Yeung Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275688558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15940 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-968-2442",
            "fax_number": "626-968-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15940 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-968-2442",
            "fax_number": "626-968-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CERRITOS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "HUNG-CHUEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-968-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Hung-Chuen Yeung Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.