Individual
EDMUND YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2545 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 948-1641
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(185) 577-1033
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5615
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
02/01/2022
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