Provider Demographics
NPI:1720065303
Name:YU, WON KYE (MD)
Entity Type:Individual
Prefix:DR
First Name:WON
Middle Name:KYE
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17400 IRVINE BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3030
Mailing Address - Country:US
Mailing Address - Phone:714-937-9400
Mailing Address - Fax:714-937-9404
Practice Address - Street 1:17400 IRVINE BLVD STE F
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3030
Practice Address - Country:US
Practice Address - Phone:714-937-9400
Practice Address - Fax:714-937-9404
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2022-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA77275207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI04916Medicare UPIN
CAWA77275CMedicare ID - Type Unspecified