Provider Demographics
NPI:1386774636
Name:YU, JULIE HONG (MS OMD LAC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:HONG
Last Name:YU
Suffix:
Gender:
Credentials:MS OMD LAC
Other - Prefix:
Other - First Name:HONG
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OMD LAC
Mailing Address - Street 1:PO BOX 6544
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-6544
Mailing Address - Country:US
Mailing Address - Phone:626-675-8698
Mailing Address - Fax:
Practice Address - Street 1:12340 SANTA MONICA BLVD STE 311
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-0348
Practice Address - Country:US
Practice Address - Phone:626-675-8698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8632171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist