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NPI Code Detail

MEDICARE: DR. JERVIS YAU M.D.

MEDICARE: DR. JERVIS YAU M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA119902CA

General Provider Information

NPI Number : 1689858466
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERVIS YAU M.D.
Provider Business Mailing Address
First Line : 2936 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3354
Country : US
Telephone Number : 805-963-2729
Fax Number : 805-963-3818
Provider Business Practice Location Address
First Line : 2936 DE LA VINA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-3354
Country : US
Telephone Number : 805-963-2729
Fax Number : 805-963-3818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2007
Last Update Date : 05/13/2013

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