Provider Demographics
NPI:1477639193
Name:AU, ALVIN Y (MD FACG)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:Y
Last Name:AU
Suffix:
Gender:M
Credentials:MD FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 BAILEY DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5921
Mailing Address - Country:US
Mailing Address - Phone:559-584-6499
Mailing Address - Fax:559-584-8124
Practice Address - Street 1:1360 BAILEY DR
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5921
Practice Address - Country:US
Practice Address - Phone:559-584-6499
Practice Address - Fax:559-584-8124
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45911207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A459110Medicaid
CA00A459110Medicaid
CA00A459110Medicaid