MEDICARE: YU & I WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1326608324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YU & I WELLNESS LLC

Provider Business Mailing Address
First Line	:	6268 S RAINBOW BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3241
Country	:	US
Telephone Number	:	702-292-9729
Fax Number	:	702-505-9235

Provider Business Practice Location Address
First Line	:	6268 S RAINBOW BLVD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3241
Country	:	US
Telephone Number	:	702-292-9729
Fax Number	:	702-505-9235

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	DR. SAMUEL CHEOL YU
Credential	:	PH.D, NP-C, APRN
Telephone Number	:	702-800-8254

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	09/06/2023

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Directions to “YU & I WELLNESS LLC ” Practice Location

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