MEDICARE: MR. JUN LIANG YU MD (IN CHINA), MS

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	171100000X	Acupuncturist	AC 4230	CA

General Provider Information

NPI Number	:	1548326630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUN LIANG YU MD (IN CHINA), MS

Provider Business Mailing Address
First Line	:	2180 WESTWOOD BLVD STE 2H
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6352
Country	:	US
Telephone Number	:	310-474-3089
Fax Number	:	310-474-3899

Provider Business Practice Location Address
First Line	:	2180 WESTWOOD BLVD STE 2H
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6352
Country	:	US
Telephone Number	:	310-474-3089
Fax Number	:	310-474-3899

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

Provider Enumeration Date	:	12/31/2006
Last Update Date	:	07/08/2007

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