Healthcare Provider Details

I. General information

NPI: 1275235236
Provider Name (Legal Business Name): JENNIFER DA HYUN YOO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 E CALAVERAS BLVD # CA
MILPITAS CA
95035-5491
US

IV. Provider business mailing address

770 E CALAVERAS BLVD
MILPITAS CA
95035-5491
US

V. Phone/Fax

Practice location:
  • Phone: 408-945-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A25248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: