Provider Demographics
NPI:1700990033
Name:YU, KATHERINE K (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:K
Last Name:YU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14445 OLIVE VIEW DR
Mailing Address - Street 2:DEPT OF MED 2A182
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1437
Mailing Address - Country:US
Mailing Address - Phone:818-364-3205
Mailing Address - Fax:818-364-4781
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:DEPT OF MED 2A182
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1437
Practice Address - Country:US
Practice Address - Phone:818-364-3205
Practice Address - Fax:818-364-4781
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG63869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E74171Medicare UPIN