Basic Information
Provider Information
NPI: 1669044608
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YIU
FirstName: TSZ KING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 320 S GARFIELD AVE STE 312
Address2:  
City: ALHAMBRA
State: CA
PostalCode: 918016842
CountryCode: US
TelephoneNumber: 6265983883
FaxNumber:  
Practice Location
Address1: 320 S GARFIELD AVE STE 312
Address2:  
City: ALHAMBRA
State: CA
PostalCode: 918016842
CountryCode: US
TelephoneNumber: 6265983883
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/09/2021
LastUpdateDate: 08/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
225400000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner 

No ID Information.


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