MEDICARE: GRACE 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	207KA0200X	Allergy Physician	A97127	CA

General Provider Information

NPI Number	:	1538356225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE YU MD

Provider Business Mailing Address
First Line	:	2350 W EL CAMINO REAL
Second Line	:	2ND FLOOR
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-6201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 KEARNEY STREET
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94301-2302
Country	:	US
Telephone Number	:	510-490-1222
Fax Number	:

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

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	01/11/2012

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Directions to “ GRACE YU MD” Practice Location

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