Healthcare Provider Details

I. General information

NPI: 1518588474
Provider Name (Legal Business Name): FRANCIS YABUT CLS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 CALAROGA AVE
HAYWARD CA
94545-4339
US

IV. Provider business mailing address

2497 CABRILLO DR
HAYWARD CA
94545-4560
US

V. Phone/Fax

Practice location:
  • Phone: 510-264-4000
  • Fax:
Mailing address:
  • Phone: 510-690-4805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License NumberMTA00045806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: