Provider Demographics
NPI:1346340213
Name:YU, CHONA FRIAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHONA
Middle Name:FRIAS
Last Name:YU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2256 COLORADO BLVD
Mailing Address - Street 2:111
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1164
Mailing Address - Country:US
Mailing Address - Phone:323-982-1435
Mailing Address - Fax:323-982-1485
Practice Address - Street 1:2256 COLORADO BLVD
Practice Address - Street 2:111
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1164
Practice Address - Country:US
Practice Address - Phone:323-982-1435
Practice Address - Fax:323-982-1485
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA460031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice