Healthcare Provider Details

I. General information

NPI: 1922441823
Provider Name (Legal Business Name): YANG MEE VUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2013
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3870 ROSIN CT SUITE 130
SACRAMENTO CA
95834-1620
US

IV. Provider business mailing address

3870 ROSIN CT SUITE 130
SACRAMENTO CA
95834-1620
US

V. Phone/Fax

Practice location:
  • Phone: 916-764-2048
  • Fax: 916-923-2813
Mailing address:
  • Phone: 916-764-2048
  • Fax: 916-923-2813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: