Individual
KELLY YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 106, GARDENA, CA 90247-4128
(310) 323-2887
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 106, GARDENA, CA 90247-4128
(310) 323-2887
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4999
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1793
CA
Other
Enumeration date
06/30/2009
Last updated
05/25/2012
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