Provider Demographics
NPI:1346350147
Name:GREGORY C YU MD INC
Entity Type:Organization
Organization Name:GREGORY C YU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-248-8998
Mailing Address - Street 1:2258 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1457
Mailing Address - Country:US
Mailing Address - Phone:818-248-8998
Mailing Address - Fax:818-248-0844
Practice Address - Street 1:2258 FOOTHILL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LA CANADA FLINTRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91011-1457
Practice Address - Country:US
Practice Address - Phone:818-248-8998
Practice Address - Fax:818-248-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG060843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty