Provider Demographics
NPI:1902293418
Name:YUE, YUCO
Entity Type:Individual
Prefix:
First Name:YUCO
Middle Name:
Last Name:YUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 ARCDALE AVE
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-3109
Mailing Address - Country:US
Mailing Address - Phone:626-381-8806
Mailing Address - Fax:
Practice Address - Street 1:301 W HUNTINGTON DR STE 116
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-3462
Practice Address - Country:US
Practice Address - Phone:626-623-6606
Practice Address - Fax:626-623-6608
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPI-00114061835P0018X
CA74362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORPI-0011406OtherOREGON BOARD OF PHARMACY, PHARMACY INTERN
CA74362OtherPHARMACIST LICENSE