Basic Information
| Provider Information | |||||||||
| NPI: | 1356601553 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YEUNG | ||||||||
| FirstName: | CONNIE | ||||||||
| MiddleName: | U | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12040 NE 128TH ST | ||||||||
| Address2: | MS-50 | ||||||||
| City: | KIRKLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980343013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258991920 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2585 SAMARITAN DR STE 101C | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951244117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4846288838 | ||||||||
| FaxNumber: | 4843452393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2012 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | OP61169166 | WA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 20A14825 | CA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.