Healthcare Provider Details

I. General information

NPI: 1275211617
Provider Name (Legal Business Name): YUE HAO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 LUNDY AVE
SAN JOSE CA
95131-1826
US

IV. Provider business mailing address

150 MARKET ST APT 443
MILPITAS CA
95035-5597
US

V. Phone/Fax

Practice location:
  • Phone: 415-391-9686
  • Fax:
Mailing address:
  • Phone: 773-648-9810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA204902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: