Organization
IRVINE GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANG YU MD, PHD (PRESIDENT)
(949) 679-0000
Entity
Organization
Contact information
Practice address
15825 LAGUNA CANYON RD, SUITE 106, IRVINE, CA 92618-2125
(949) 679-0000
(949) 679-0976
Mailing address
15825 LAGUNA CANYON RD, SUITE 106, IRVINE, CA 92618-2125
(949) 679-0000
(949) 679-0976
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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