Individual
KYLE KAI YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 BESSIE AVE, STE 108, TRACY, CA 95376-3080
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G70459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G704590
BLUE SHIELD PIN
CA
05
—
00G704590
—
CA
Enumeration date
10/24/2005
Last updated
12/12/2007
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