Provider Demographics
NPI:1487014494
Name:YUE, CHI MAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHI MAN
Middle Name:
Last Name:YUE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14503 RAMONA BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-3322
Mailing Address - Country:US
Mailing Address - Phone:626-813-7266
Mailing Address - Fax:626-813-7666
Practice Address - Street 1:14503 RAMONA BLVD
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3322
Practice Address - Country:US
Practice Address - Phone:626-813-7266
Practice Address - Fax:626-813-7666
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist