Provider Demographics
NPI:1952511099
Name:YU, MI SUN (AC)
Entity Type:Individual
Prefix:DR
First Name:MI
Middle Name:SUN
Last Name:YU
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12792 VALLEY VIEW ST STE 206
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-2510
Mailing Address - Country:US
Mailing Address - Phone:714-809-5028
Mailing Address - Fax:818-366-7078
Practice Address - Street 1:12792 VALLEY VIEW ST STE 206
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-2510
Practice Address - Country:US
Practice Address - Phone:714-809-5028
Practice Address - Fax:818-366-7078
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC10620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist