Healthcare Provider Details

I. General information

NPI: 1194896555
Provider Name (Legal Business Name): HELEN YAU O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 SANTA CRUZ AVE
MENLO PARK CA
94025-4609
US

IV. Provider business mailing address

811 SANTA CRUZ AVE
MENLO PARK CA
94025-4609
US

V. Phone/Fax

Practice location:
  • Phone: 650-326-2177
  • Fax: 650-326-8154
Mailing address:
  • Phone: 650-326-2177
  • Fax: 650-326-8154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number10615T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: