Healthcare Provider Details

I. General information

NPI: 1831814011
Provider Name (Legal Business Name): DANIEL YEUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022
Certification Date: 10/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 MIDDLEFIELD RD
PALO ALTO CA
94306-2516
US

IV. Provider business mailing address

2605 MIDDLEFIELD RD
PALO ALTO CA
94306-2516
US

V. Phone/Fax

Practice location:
  • Phone: 650-566-9723
  • Fax:
Mailing address:
  • Phone: 650-566-9723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number86899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: