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NPI Code Detail

MEDICARE: DR. DALE YOUNG YU M.D.

MEDICARE:  DR. DALE YOUNG YU  M.D.
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
1207RC0000XCardiovascular Disease PhysicianA84451CA

General Provider Information

NPI Number : 1538384250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DALE YOUNG YU M.D.
Provider Business Mailing Address
First Line : 1526 N EDGEMONT ST
Second Line : 2ND FLOOR, CARDIOLOGY
City : LOS ANGELES
State : CA
Zip : 90027-5260
Country : US
Telephone Number : 323-783-4916
Fax Number :
Provider Business Practice Location Address
First Line : 1526 N EDGEMONT ST
Second Line : 2ND FLOOR, CARDIOLOGY
City : LOS ANGELES
State : CA
Zip : 90027-5260
Country : US
Telephone Number : 323-783-4916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 12/02/2021

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