Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 20A14168 | CA |
NPI | 1043573694 |
---|---|
Provider Name | Chibong Alex Yu |
First Address | Hemet, CA 92546-0788 |
Second Address | Alhambra, CA 91801-3166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 15/09/2020 |