Healthcare Provider Details

I. General information

NPI: 1700492212
Provider Name (Legal Business Name): JANICE K YU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 JUNIPERO SERRA BLVD STE 650
DALY CITY CA
94014-3897
US

IV. Provider business mailing address

2001 JUNIPERO SERRA BLVD STE 650
DALY CITY CA
94014-3897
US

V. Phone/Fax

Practice location:
  • Phone: 650-991-6200
  • Fax:
Mailing address:
  • Phone: 650-991-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number152747
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: