Healthcare Provider Details

I. General information

NPI: 1861838856
Provider Name (Legal Business Name): YUKKING YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2013
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 LUNDY AVE
SAN JOSE CA
95131-1826
US

IV. Provider business mailing address

1870 LUNDY AVE
SAN JOSE CA
95131-1826
US

V. Phone/Fax

Practice location:
  • Phone: 408-573-9686
  • Fax:
Mailing address:
  • Phone: 408-573-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW18534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: