Active NPI
Lucy Yang
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1952827016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP24675
- Practice address
- 3551 W Olympic Blvd
Los Angeles, CA 90019-3504 - Phone
- (573) 864-4347
- NPI assigned
- Aug 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP24675 | CA | Primary |
Addresses
Primary practice location
3551 W Olympic Blvd
Los Angeles, CA 90019-3504
Mailing address
1045 S Bedford St
Los Angeles, CA 90035-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24675 | CA | MD | Clinical Social Worker |
| SP24675 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503187200000",
"number": "1952827016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 S BEDFORD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 W OLYMPIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193504",
"telephone_number": "573-864-4347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANG",
"first_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2017-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP24675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.