Healthcare Provider Details

I. General information

NPI: 1518856251
Provider Name (Legal Business Name): LAURYN YEE
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25919 GADING RD
HAYWARD CA
94544-2725
US

IV. Provider business mailing address

25919 GADING RD
HAYWARD CA
94544-2725
US

V. Phone/Fax

Practice location:
  • Phone: 510-463-7938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27694
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: