Provider Demographics
NPI:1588623813
Name:YU, AUSTIN HAW (MD)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:HAW
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2063
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-7063
Mailing Address - Country:US
Mailing Address - Phone:562-626-8016
Mailing Address - Fax:562-626-8017
Practice Address - Street 1:3851 KATELLA AVE
Practice Address - Street 2:SUITE #315
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-626-8016
Practice Address - Fax:562-626-8017
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62129207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGQ862ZMedicaid
CAGQ862ZMedicare PIN