Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A132354 | CA |
NPI | 1093154551 |
---|---|
Provider Name | Dr. Sloane Yu |
First Address | San Jose, CA 95124-6350 |
Second Address | San Jose, CA 95124-6350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 08/02/2020 |