Provider Demographics
NPI:1255466413
Name:YU, MIAO CRYSTAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MIAO
Middle Name:CRYSTAL
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18102 CULVER DRIVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:657-241-8220
Mailing Address - Fax:949-407-5278
Practice Address - Street 1:18102 CULVER DRIVE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:657-241-8220
Practice Address - Fax:949-407-5278
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA136411207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics