Individual ProviderLawrence YuInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1250 16th St, A454, Santa Monica, CA 90404-1249(310) 319-4698(310) 267-9643PECOS EnrollmentBased on the most recent information from CMS, provider Lawrence Yu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1316171481Provider TypeIndividualFull NameYu, LawrenceCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/5/2009Last Updated12/1/2021Contact InformationPractice LocationPractice Address1250 16th St, A454, Santa Monica, CA 90404-1249Phone(310) 319-4698Fax(310) 319-4908Mailing LocationMailing Address757 Westwood Plz, 7501, Los Angeles, CA 90095-8358Phone(310) 267-9643Fax(310) 267-3840Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA115073CaliforniaCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseA115073CaliforniaProvider IdentifiersIDDescriptionIssuerID1316171481DescriptionMedicaidIssuerUnlistedCalifornia