Individual
SON HA YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
(760) 423-6273
Mailing address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
(760) 423-6273
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A92691
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A92691
CA
Other
Enumeration date
08/16/2007
Last updated
03/03/2020
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