Healthcare Provider Details

I. General information

NPI: 1235818162
Provider Name (Legal Business Name): RUBYE YORK YE CHU-PASCUAL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8765 AERO DR STE 130
SAN DIEGO CA
92123
US

IV. Provider business mailing address

8695 SPECTRUM CENTER BLVD
SAN DIEGO CA
92123-1489
US

V. Phone/Fax

Practice location:
  • Phone: 858-541-0181
  • Fax:
Mailing address:
  • Phone: 858-798-9083
  • Fax: 760-705-1533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95025146
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number838227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: