Provider Demographics
NPI:1689734428
Name:WU, YONGYI
Entity type:Individual
Prefix:
First Name:YONGYI
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 FRANCISCO STREET
Mailing Address - Street 2:APT 1214
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-1726
Mailing Address - Country:US
Mailing Address - Phone:415-362-7276
Mailing Address - Fax:415-362-3788
Practice Address - Street 1:835 CLAY STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1639
Practice Address - Country:US
Practice Address - Phone:415-362-7276
Practice Address - Fax:415-362-3788
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1689734428Medicare PIN