Provider Demographics
NPI:1386963361
Name:YU, KUO-HUNG JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:KUO-HUNG
Middle Name:JOHN
Last Name:YU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:K
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:18 ENDEAVOR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3164
Mailing Address - Country:US
Mailing Address - Phone:323-639-0275
Mailing Address - Fax:
Practice Address - Street 1:416 W LAS TUNAS DR
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1236
Practice Address - Country:US
Practice Address - Phone:626-789-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics