Healthcare Provider Details

I. General information

NPI: 1558785949
Provider Name (Legal Business Name): DEBORAH HUI-EN CHAU YIP DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH HUI-EN CHAU DDS

II. Dates (important events)

Enumeration Date: 02/06/2014
Last Update Date: 02/17/2024
Certification Date: 02/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 LAUREL ST STE 310
SAN FRANCISCO CA
94118-1953
US

IV. Provider business mailing address

1202 SIOUX CT
FREMONT CA
94539-6587
US

V. Phone/Fax

Practice location:
  • Phone: 415-563-4261
  • Fax:
Mailing address:
  • Phone: 510-209-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number64899
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: