MEDICARE: HAIMING YU ABOC

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	156FX1800X	Optician	SL40534	CA

General Provider Information

NPI Number	:	1194171363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAIMING YU ABOC

Provider Business Mailing Address
First Line	:	2375 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4263
Country	:	US
Telephone Number	:	626-817-9961
Fax Number	:	626-551-4205

Provider Business Practice Location Address
First Line	:	2375 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4263
Country	:	US
Telephone Number	:	626-817-9961
Fax Number	:	626-551-4205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	05/06/2016

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Directions to “ HAIMING YU ABOC” Practice Location

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