Basic Information
Provider Information
NPI: 1548407950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YU
FirstName: JEAN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2100 WEBSTER ST STE 319
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941152377
CountryCode: US
TelephoneNumber: 4159233123
FaxNumber: 4159233132
Practice Location
Address1: 2100 WEBSTER ST STE 319
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941152377
CountryCode: US
TelephoneNumber: 4152063061
FaxNumber: 4159233132
Other Information
ProviderEnumerationDate: 01/07/2009
LastUpdateDate: 11/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA119434CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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