Provider Demographics
NPI:1710412283
Name:SUN, YINLING I (LMFT)
Entity type:Individual
Prefix:
First Name:YINLING
Middle Name:
Last Name:SUN
Suffix:I
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANGELICA
Other - Middle Name:YINLING
Other - Last Name:SUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:633 W 5TH ST
Mailing Address - Street 2:ROOM 2618B (26TH FLOOR)
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90071-2005
Mailing Address - Country:US
Mailing Address - Phone:213-461-0848
Mailing Address - Fax:
Practice Address - Street 1:633 W 5TH ST FL 2618B26
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90071-2005
Practice Address - Country:US
Practice Address - Phone:213-461-0848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CA122774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7368OtherMEDI-CAL
CA7184OtherMEDI-CAL
CA7708OtherMEDI-CAL
CA7667OtherMEDI-CAL