05D2168636 CLIA NUMBER - WON K YU MD INC

Laboratory Demographics

CLIA Number: 05D2168636

Facility Name: WON K YU MD INC

Facility Address:
17400 IRVINE BLVD, STE F
TUSTIN, CA
ZIP 92780
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Facility Phone Number: 714 937-9400

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1720065303

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2168636
LAB Type	Physician Office
Facility Name	WON K YU MD INC
Street	17400 IRVINE BLVD, STE F
City	TUSTIN
State	CA
ZIP	92780
Phone	714 937-9400
CertificateType	2
CertificateEffectiveDate	1/28/2023
CertificateExpirationDate	1/27/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024