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NPI Code Detail

MEDICARE: YU MING CHARTER SCHOOL

MEDICARE: YU MING CHARTER SCHOOL
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1891415279
Entity Type Code : Organization
Provider Name (Legal Business Name) : YU MING CHARTER SCHOOL
Provider Business Mailing Address
First Line : 2501 CHESTNUT ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2477
Country : US
Telephone Number : 510-452-2063
Fax Number :
Provider Business Practice Location Address
First Line : 2501 CHESTNUT ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2477
Country : US
Telephone Number : 510-452-2063
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF STUDENT SUPPORT SERVICE
Name : DR. CRYSTAL MARIE SIMMONS
Credential : PHD
Telephone Number : 510-604-8190
Provider Enumeration Date : 08/29/2022
Last Update Date : 03/11/2026

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Directions to “YU MING CHARTER SCHOOL ” Practice Location

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