MEDICARE: CHRISTOPHER YUE MA

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	207P00000X	Emergency Medicine Physician	20A21529	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1376285890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER YUE MA

Provider Business Mailing Address
First Line	:	400 N PEPPER AVE STE 1M107
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-1801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N PEPPER AVE STE 1M107
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-1801
Country	:	US
Telephone Number	:	909-580-2159
Fax Number	:

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	03/06/2026

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Directions to “ CHRISTOPHER YUE MA ” Practice Location

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