Healthcare Provider Details

I. General information

NPI: 1548407950
Provider Name (Legal Business Name): JEAN M YU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WEBSTER ST STE 319
SAN FRANCISCO CA
94115-2377
US

IV. Provider business mailing address

2100 WEBSTER ST STE 319
SAN FRANCISCO CA
94115-2377
US

V. Phone/Fax

Practice location:
  • Phone: 415-206-3061
  • Fax: 415-923-3132
Mailing address:
  • Phone: 415-923-3123
  • Fax: 415-923-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA119434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: