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NPI Code Detail

MEDICARE: JACQUELINE JOYCE YU LCSW

MEDICARE:   JACQUELINE JOYCE YU  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker19813CA

General Provider Information

NPI Number : 1285709428
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE JOYCE YU LCSW
Provider Business Mailing Address
First Line : 1795 VERDE VISTA DR
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-2232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1795 VERDE VISTA DR
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91754-2232
Country : US
Telephone Number : 626-289-8870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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Directions to “ JACQUELINE JOYCE YU LCSW” Practice Location

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