Basic Information
| Provider Information | |||||||||
| NPI: | 1730218751 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YU | ||||||||
| FirstName: | ROGINELLI | ||||||||
| MiddleName: | OCAMPO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | YU | ||||||||
| OtherFirstName: | ROGINELLI | ||||||||
| OtherMiddleName: | OCAMPO | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3460 KATELLA AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ALAMITOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907202334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5625946599 | ||||||||
| FaxNumber: | 5927950029 | ||||||||
| Practice Location | |||||||||
| Address1: | 10601 WALKER ST | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | CYPRESS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906304733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142528311 | ||||||||
| FaxNumber: | 7142528339 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2007 | ||||||||
| LastUpdateDate: | 03/27/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A54855 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.