MEDICARE: YANG FU

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	171100000X	Acupuncturist	AC18522	CA

General Provider Information

NPI Number	:	1699238857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANG FU

Provider Business Mailing Address
First Line	:	609 GRAND FIR AVE APT 9
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94086-7939
Country	:	US
Telephone Number	:	650-996-3306
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 SARATOGA AVE STE 200
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2639
Country	:	US
Telephone Number	:	408-736-3676
Fax Number	:	408-736-3266

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

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	04/12/2019

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Directions to “ YANG FU ” Practice Location

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