MEDICARE: MRS. YOSHIMI YU L.AC.

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	246Z00000X	Other Specialist/Technologist	AC9171	CA
2	171100000X	Acupuncturist	AC9171	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC9171	OTHER	CA	CALIFORNIA ACUPUNCTURE BOARD

General Provider Information

NPI Number	:	1760419857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YOSHIMI YU L.AC.

Provider Business Mailing Address
First Line	:	9116 E FAIRVIEW AVE
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91775-3105
Country	:	US
Telephone Number	:	626-215-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	5827 1/2 TEMPLE CITY BLVD
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-2113
Country	:	US
Telephone Number	:	626-215-1577
Fax Number	:

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	10/10/2018

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