Provider Demographics
NPI:1063805901
Name:YU, CHRISTINA HUI-I (PT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:HUI-I
Last Name:YU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24301 MUIRLANDS BLVD.
Mailing Address - Street 2:SUITE T
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-3620
Mailing Address - Country:US
Mailing Address - Phone:949-271-0012
Mailing Address - Fax:949-271-0013
Practice Address - Street 1:24301 MUIRLANDS BLVD.
Practice Address - Street 2:SUITE T
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-3620
Practice Address - Country:US
Practice Address - Phone:949-271-0012
Practice Address - Fax:949-271-0013
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42418225100000X
CAPT42418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB231032Medicare PIN