Healthcare Provider Details

I. General information

NPI: 1699469585
Provider Name (Legal Business Name): KATHERINE YUCI WEI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 CALIFORNIA ST STE 210
SAN FRANCISCO CA
94118-1367
US

IV. Provider business mailing address

4200 CALIFORNIA ST STE 210
SAN FRANCISCO CA
94118-1367
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-0526
  • Fax:
Mailing address:
  • Phone: 415-668-0526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN27975
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS112669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: