Individual
SAMUEL YIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST, SUITE 4000, LOS ANGELES, CA 90033-4668
(323) 442-6335
(323) 442-7166
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(323) 442-7166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A68541
CA
207W00000X
Ophthalmology Physician
Primary
D73528
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A685410
BLUE SHIELD
CA
05
—
00A685410
—
CA
01
—
180038361
MEDICARE RAILROAD
CA
01
—
D73528
MD LICENSE
MD
Enumeration date
01/03/2007
Last updated
12/14/2021
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