Healthcare Provider Details

I. General information

NPI: 1629524996
Provider Name (Legal Business Name): ABBEY HYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 08/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 MONTEREY BLVD SUITE A
SAN FRANCISCO CA
94131-3235
US

IV. Provider business mailing address

36A MONTEREY BLVD
SAN FRANCISCO CA
94131-3235
US

V. Phone/Fax

Practice location:
  • Phone: 877-264-6747
  • Fax: 877-539-7300
Mailing address:
  • Phone: 877-264-6747
  • Fax: 877-539-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11622688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: