Provider Demographics
NPI:1639525983
Name:YU, ALEX (DC AND LAC)
Entity type:Individual
Prefix:MR
First Name:ALEX
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DC AND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 CLIFF DR APT 4
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3035
Mailing Address - Country:US
Mailing Address - Phone:626-241-2909
Mailing Address - Fax:
Practice Address - Street 1:202 S. FIRST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006
Practice Address - Country:US
Practice Address - Phone:626-447-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33553111N00000X
CA16999171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist