Provider Demographics
NPI:1235317561
Name:YU CARE MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:YU CARE MEDICAL GROUP, INC.
Other - Org Name:CARE ONE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-581-0700
Mailing Address - Street 1:1722 SOUTH DESIRE AVE
Mailing Address - Street 2:102
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2968
Mailing Address - Country:US
Mailing Address - Phone:626-581-0700
Mailing Address - Fax:626-581-2020
Practice Address - Street 1:1722 SOUTH DESIRE AVE
Practice Address - Street 2:102
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2968
Practice Address - Country:US
Practice Address - Phone:626-581-0700
Practice Address - Fax:626-581-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1235317561Medicaid
CA1235317561Medicaid