| Doctor Name: | LISA YEN |
| NPI Number: | 1174810535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP14402 |
| Business Practice Address: | 11165 Sepulveda Blvd Mission Hills, CA - 913451113 |
| Business Phone Number: | 8188375785 |
| Business Fax Number: | 8188981842 |
| Mailing Address: | Po Box 9602, MISSION HILLS |
| State: | CA |
| Postal Code: | 913469602 |
| Phone Number: | 8188375691 |
| Fax Number: | 8187924793 |
| NPI Enumeration Date: | 07/06/2011 |
| NPI Last Update Date: | 04/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | NP14402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |