Healthcare Provider Details

I. General information

NPI: 1134577364
Provider Name (Legal Business Name): YANLING HU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3803 S BASCOM AVE STE 204
CAMPBELL CA
95008-7317
US

IV. Provider business mailing address

3803 S BASCOM AVE STE 204
CAMPBELL CA
95008-7317
US

V. Phone/Fax

Practice location:
  • Phone: 408-770-4770
  • Fax: 408-770-4455
Mailing address:
  • Phone: 408-770-4770
  • Fax: 408-770-4455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036149
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number95039993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: