Healthcare Provider Details

I. General information

NPI: 1376006825
Provider Name (Legal Business Name): ALLAN LEE YAU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 J ST STE 305
SACRAMENTO CA
95819-3639
US

IV. Provider business mailing address

4 IVY LN
ANDOVER MA
01810-5018
US

V. Phone/Fax

Practice location:
  • Phone: 916-733-4117
  • Fax:
Mailing address:
  • Phone: 978-973-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA179375
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: