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Individual

FANG FRANK YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15825 LAGUNA CANYON RD.,, 106, IRVINE, CA 92618
(949) 679-0000
(949) 679-0976
Mailing address
15825 LAGUNA CANYON RD.,, 106, IRVINE, CA 92618
(949) 679-0000
(949) 679-0976

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A66256
CA
207RG0100X
Gastroenterology Physician
Primary
A66256
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A662560
CA
Enumeration date
08/17/2006
Last updated
01/28/2010
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