Provider Demographics
NPI:1952374100
Name:YUE, CHIFOO DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:CHIFOO
Middle Name:DAVID
Last Name:YUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:C. DAVID
Other - Middle Name:
Other - Last Name:YUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5309 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2235
Mailing Address - Country:US
Mailing Address - Phone:714-484-8111
Mailing Address - Fax:562-866-8115
Practice Address - Street 1:5309 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-2235
Practice Address - Country:US
Practice Address - Phone:714-484-8111
Practice Address - Fax:714-699-1410
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG68013208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG68013GOtherMEDICARE PPIN
CA00G680130Medicaid
CA470902916OtherTRICARE NUMBER
CAF34452Medicare UPIN