Healthcare Provider Details

I. General information

NPI: 1063507366
Provider Name (Legal Business Name): VICTOR CHIU YEE RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT STREET
SAN FRANCISCO CA
94121-1598
US

IV. Provider business mailing address

157 BERKELEY WAY
SAN FRANCISCO CA
94131-2519
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-4810
  • Fax:
Mailing address:
  • Phone: 415-826-5948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number10003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: