Provider Demographics
NPI:1720551054
Name:YU, ESTHER KYUNG-J (PHARMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:KYUNG-J
Last Name:YU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16406 CHERRY CREST CIR
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1908
Mailing Address - Country:US
Mailing Address - Phone:562-331-1130
Mailing Address - Fax:
Practice Address - Street 1:1401 S BROOKHURST RD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4471
Practice Address - Country:US
Practice Address - Phone:714-992-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist