Provider Demographics
NPI:1730218751
Name:YU, ROGINELLI OCAMPO (MD)
Entity type:Individual
Prefix:DR
First Name:ROGINELLI
Middle Name:OCAMPO
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:ROGINELLI
Other - Middle Name:OCAMPO
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3460 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2334
Mailing Address - Country:US
Mailing Address - Phone:562-594-6599
Mailing Address - Fax:592-795-0029
Practice Address - Street 1:10601 WALKER ST
Practice Address - Street 2:SUITE 250
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4733
Practice Address - Country:US
Practice Address - Phone:714-252-8311
Practice Address - Fax:714-252-8339
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine