Organization
PASADENA EYE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D YU M.D. (GENERAL PARTNER)
(626) 796-5325
Entity
Organization
Contact information
Practice address
10 CONGRESS ST, STE 340, PASADENA, CA 91105-3023
(626) 796-5325
(626) 796-5325
Mailing address
10 CONGRESS ST, STE 340, PASADENA, CA 91105-3023
(626) 796-5325
(626) 796-5325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A243881
—
CA
01
—
4697820001
BOWNS DMERC
CA
01
—
A24388
BOWNS CA LIC
CA
01
—
C13148
RIFFENBURGH CA LIC
CA
01
—
F26163
YU CA LIC
CA
01
—
G25807
WU CA LIC
CA
05
—
ZZZ79446Z
—
CA
Enumeration date
09/26/2006
Last updated
05/10/2017
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