Healthcare Provider Details

I. General information

NPI: 1801442009
Provider Name (Legal Business Name): SHUK CHING YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E 18TH ST FL 2
OAKLAND CA
94606-1716
US

IV. Provider business mailing address

38072 LUMA TER
NEWARK CA
94560-4857
US

V. Phone/Fax

Practice location:
  • Phone: 510-735-3888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number806546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: