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NPI Code Detail

MEDICARE: DR. CHI-HYUK ERIC YU D.C.

MEDICARE: DR. CHI-HYUK ERIC YU D.C.
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
1111N00000XChiropractorDC30074CA

General Provider Information

NPI Number : 1629268461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHI-HYUK ERIC YU D.C.
Provider Business Mailing Address
First Line : 2310 ARTESIA BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3114
Country : US
Telephone Number : 310-372-2063
Fax Number : 310-379-5748
Provider Business Practice Location Address
First Line : 2310 ARTESIA BLVD
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3114
Country : US
Telephone Number : 310-372-2063
Fax Number : 310-379-5748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2007
Last Update Date : 07/27/2007

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