Healthcare Provider Details

I. General information

NPI: 1871113662
Provider Name (Legal Business Name): WILLIAM YUEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 TECHNOLOGY DR
SAN JOSE CA
95110-1305
US

IV. Provider business mailing address

1721 TECHNOLOGY DR
SAN JOSE CA
95110-1305
US

V. Phone/Fax

Practice location:
  • Phone: 408-436-3300
  • Fax:
Mailing address:
  • Phone: 408-436-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301507871
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA183626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: