Healthcare Provider Details

I. General information

NPI: 1477951986
Provider Name (Legal Business Name): EMILY YUEN L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 LINDA MAR BLVD
PACIFICA CA
94044-3542
US

IV. Provider business mailing address

41 ALPHA ST
SAN FRANCISCO CA
94134-2218
US

V. Phone/Fax

Practice location:
  • Phone: 650-355-3600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15631
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: