| Won K Yu, Md, Mph Digestive Diseases | |
|
17400 Irvine Blvd Ste F Tustin CA 92780-3030 | |
| (714) 937-9400 | |
| (714) 937-9404 |
| Full Name | Won K Yu, Md, Mph Digestive Diseases |
|---|---|
| Speciality | Internal Medicine |
| Location | 17400 Irvine Blvd Ste F, Tustin, California |
| Authorized Official Name and Position | Won Kye Yu (OWNER) |
| Authorized Official Contact | 7149379400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Won K Yu, Md, Mph Digestive Diseases 230 S Main St Ste 215 Orange CA 92868-3851 Ph: (714) 937-9400 | Won K Yu, Md, Mph Digestive Diseases 17400 Irvine Blvd Ste F Tustin CA 92780-3030 Ph: (714) 937-9400 |
| NPI Number | 1538334289 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 08/04/2023 |
| Medicare PECOS PAC ID | 1153485032 |
|---|---|
| Medicare Enrollment ID | O20090122000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538334289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A77275 (California) | Primary |
| Provider Name | Won K Yu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720065303 PECOS PAC ID: 5092798090 Enrollment ID: I20040610001081 |
| Provider Name | Cindy Sieun An |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579420 PECOS PAC ID: 7113371261 Enrollment ID: I20230925000364 |
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