MEDICARE: ANNE YU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	147770	CA

General Provider Information

NPI Number	:	1114283314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE YU MD

Provider Business Mailing Address
First Line	:	13851 E 14TH ST STE 206
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2627
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13851 E 14TH ST STE 206
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94578-2627
Country	:	US
Telephone Number	:	510-351-9373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	10/11/2017

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Directions to “ ANNE YU MD” Practice Location

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