Provider Demographics
NPI:1396060943
Name:YU, HONG
Entity type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 5TH ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7027
Mailing Address - Country:US
Mailing Address - Phone:626-822-1618
Mailing Address - Fax:805-204-5250
Practice Address - Street 1:300 S 5TH ST
Practice Address - Street 2:SUITE G
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7027
Practice Address - Country:US
Practice Address - Phone:626-822-1618
Practice Address - Fax:805-204-5250
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12659171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist