MEDICARE: SHARON YU

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	106H00000X	Marriage & Family Therapist	50028	CA

General Provider Information

NPI Number	:	1346609518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON YU

Provider Business Mailing Address
First Line	:	2440 S HACIENDA BLVD STE 112
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4763
Country	:	US
Telephone Number	:	626-538-7561
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 S HACIENDA BLVD STE 112
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745-4763
Country	:	US
Telephone Number	:	626-538-7561
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHARON YU
Credential	:	M.A. LMFT
Telephone Number	:	626-538-7561

Provider Enumeration Date	:	02/17/2016
Last Update Date	:	02/17/2016

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