Sunny Y Im-Wang in San Rafael - Psychologist
Sunny Y Im-Wang - NPI 1811071194
Sunny Y Im-Wang is a Psychologist in San Rafael, California. Sunny Y Im-Wang practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Sunny Y Im-Wang is 1811071194. The last update date is 2007-07-08.
Sunny Y Im-Wang's current location address is 161 Mitchell Blvd, San Rafael, California. You can contact this provider via phone number 4154996828 and fax number 4154993080. The mailing address for Sunny Y Im-Wang is 161 Mitchell Blvd, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sunny Y Im-Wang |
|---|---|
| Address | 161 Mitchell Blvd, San Rafael, California |
| Phone Number | 4154996828 |
| Fax Number | 4154993080 |
| Sole Proprietor | N |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1811071194 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 161 Mitchell Blvd |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949032068 |
| Phone Number | 4154996828 |
| Fax Number | 4154993080 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Sunny Y Im-Wang by the Centers for Medicare & Medicaid Services?
The Sunny Y Im-Wang has been issued the NPI (National Provider Identifier) 1811071194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sunny Y Im-Wang is physically located?
The Sunny Y Im-Wang is situated at the following address: 161 Mitchell Blvd, San Rafael, CA 949032068.
What is the Sunny Y Im-Wang's specialty and taxonomy code?
The Sunny Y Im-Wang's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811071194 to Sunny Y Im-Wang?
The Centers for Medicare & Medicaid Services assigned the 1811071194 to Sunny Y Im-Wang on 2006-10-24.
As of what date was the information regarding Sunny Y Im-Wang, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sunny Y Im-Wang, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.