Individual
DR. MELISSA BETH YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HOAG DRIVE, NEWPORT BEACH, CA 92663
(949) 764-5770
(949) 263-1639
Mailing address
DEPT LA 21555, PASADENA, CA 91185-1555
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A71753
CA
2085R0202X
Diagnostic Radiology Physician
44803
CO
2085R0202X
Diagnostic Radiology Physician
Primary
A71753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A717530
BS
CA
05
—
00A717530
—
CA
01
—
44803
CO LICENSE
CO
05
—
62654811
—
CO
01
—
P00353268
RR RIA MEDICARE
CO
Enumeration date
05/23/2006
Last updated
12/12/2007
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