Basic Information
| Provider Information | |||||||||
| NPI: | 1518588474 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YABUT | ||||||||
| FirstName: | FRANCIS | ||||||||
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| Credential: | CLS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2497 CABRILLO DR | ||||||||
| Address2: | |||||||||
| City: | HAYWARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945454560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5106904805 | ||||||||
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| Practice Location | |||||||||
| Address1: | 27200 CALAROGA AVE | ||||||||
| Address2: | |||||||||
| City: | HAYWARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945454339 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102644000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/01/2020 | ||||||||
| LastUpdateDate: | 05/01/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 246RM2200X | MTA00045806 | CA | Y | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Medical Laboratory |
No ID Information.