Most Relevant Information
Provider Data
| NPI Number: | 1003277260 |
| Provider Name: | SOOJIN YU NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP95003819 |
Most Important Dates
| Enumeration Date: | 03/16/2016 |
| Last Updated: | 07/20/2018 |
Provider Practice Location
1781 3RD ST
NORCO
CA
92860
Practice Location Phone/Fax
| Phone: | 9512794900 |
| Fax: |
Provider Mailing Location
996 EVENING CANYON RD
BREA
CA
928212612
Provider Mailing Phone/Fax
| Phone: | 7148337556 |
| Fax: |