Healthcare Provider Details

I. General information

NPI: 1770756967
Provider Name (Legal Business Name): MARIA W. YIU PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 BERRY STREET 2ND FLOOR CAMPUS BOX 0134
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

185 BERRY STREET 2ND FLOOR CAMPUS BOX 0134
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-4809
  • Fax: 415-353-4828
Mailing address:
  • Phone: 415-353-4809
  • Fax: 415-353-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License NumberDRM47
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: