Individual
DR. LEISURE YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
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
174400000X
Specialist
Primary
G62381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G623810
—
CA
01
—
1578756979
NPI TYPE II
CA
01
—
602135600
US DEPT. LABOR NUMBER
CA
01
—
P00143603
MEDICARE RAILROAD
CA
Enumeration date
02/09/2006
Last updated
12/11/2017
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