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Organization

LEISURE YU, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEISURE YU (AUTHORIZED OFFICAL)
(909) 214-2105
Entity
Organization

Contact information

Practice address
10459 MT VIEW AVE, SUITE D, LOMA LINDA, CA 92354-2033
(909) 799-3838
(909) 799-3830
Mailing address
30688 COUNTRY CLUB DR, REDLANDS, CA 92373-7619
(909) 214-2105

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G62381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G623810
CA
01
602135600
US DEPT OF LABOR
Enumeration date
08/20/2007
Last updated
12/11/2017
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