Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 241610 | NY |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A109401 | CA |
Y | 207YP0228X | Pediatric Otolaryngology | A109401 | CA |
NPI | 1255587762 |
---|---|
Provider Name | Dr. Kathy Yu |
First Address | Huntington Beach, CA 92647-6872 |
Second Address | Huntington Beach, CA 92647-6872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2008 |
Last Update Date | 03/09/2020 |