Healthcare Provider Details

I. General information

NPI: 1578004776
Provider Name (Legal Business Name): AMY MEI TING YAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 LAWRENCE EXPY DEPT. 170
SANTA CLARA CA
95051-5173
US

IV. Provider business mailing address

2084 SHEFFIELD DR
SAN JOSE CA
95131-1589
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-1304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: