| Thomas S. Yu, M.d., Inc. | |
|
1448 S San Gabriel Blvd San Gabriel CA 91776-3656 | |
| (626) 288-0300 | |
| (626) 288-1402 |
| Full Name | Thomas S. Yu, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1448 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Thomas Shengyuan Yu (PRESIDENT) |
| Authorized Official Contact | 6262880300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas S. Yu, M.d., Inc. 1448 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 288-0300 | Thomas S. Yu, M.d., Inc. 1448 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 288-0300 |
| NPI Number | 1578662649 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 2264625359 |
|---|---|
| Medicare Enrollment ID | O20101021000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578662649 | NPI | - | NPPES |
| 00G806261 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G80626 (California) | Primary |
| Provider Name | Thomas S Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588844104 PECOS PAC ID: 0042403149 Enrollment ID: I20101021000624 |
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