Healthcare Provider Details

I. General information

NPI: 1780573048
Provider Name (Legal Business Name): MICHAEL YAU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 LONG BEACH BLVD STE 4007
LONG BEACH CA
90807-3315
US

IV. Provider business mailing address

4015 E PALMYRA AVE
ORANGE CA
92869-3925
US

V. Phone/Fax

Practice location:
  • Phone: 562-353-5335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number147807
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: