Individual
JEFFREY C UY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5955
(323) 442-5953
Mailing address
PO BOX 31039, LOS ANGELES, CA 90031-0039
(323) 442-5955
(323) 442-5953
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A76183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A761830
BLUE SHIELD
CA
01
—
507806
VALUE OPTIONS
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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