Provider Demographics
NPI:1104992213
Name:LING, YU-FU (LAC)
Entity type:Individual
Prefix:DR
First Name:YU-FU
Middle Name:
Last Name:LING
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 MARINE AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-3730
Mailing Address - Country:US
Mailing Address - Phone:310-538-8881
Mailing Address - Fax:310-538-3181
Practice Address - Street 1:2615 MARINE AVE
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-3730
Practice Address - Country:US
Practice Address - Phone:310-538-8881
Practice Address - Fax:310-538-3181
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7527171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist