Provider Demographics
NPI:1073705778
Name:YU, SON HA (MD)
Entity Type:Individual
Prefix:
First Name:SON HA
Middle Name:
Last Name:YU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:71780 SAN JACINTO DR BLDG I
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-5516
Mailing Address - Country:US
Mailing Address - Phone:760-568-3461
Mailing Address - Fax:760-423-6273
Practice Address - Street 1:71780 SAN JACINTO DR BLDG I
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-5516
Practice Address - Country:US
Practice Address - Phone:760-568-3461
Practice Address - Fax:760-423-6273
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2020-03-03
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Provider Licenses
StateLicense IDTaxonomies
CAA92691208G00000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)