Provider Demographics
NPI:1922323492
Name:SIU, JOHN YEUK HON (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:YEUK HON
Last Name:SIU
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 1:2175 N CALIFORNIA BLVD STE 425
Mailing Address - Street 2:MEDICAL ANESTHESIA CONSULTANTS
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-7164
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2175 N CALIFORNIA BLVD STE 425
Practice Address - Street 2:MEDICAL ANESTHESIA CONSULTANTS
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-7164
Practice Address - Country:US
Practice Address - Phone:925-543-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD451510207L00000X
390200000X
CAA135545207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program