Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A136411 | CA |
NPI | 1255466413 |
---|---|
Provider Name | Dr. Miao Crystal Yu |
First Address | Irvine, CA 92604-1723 |
Second Address | Irvine, CA 92604-1723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 28/06/2021 |