Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A87302 | CA |
NPI | 1003980699 |
---|---|
Provider Name | Ivy I. Yu |
First Address | Oakland, CA 94612-3466 |
Second Address | Oakland, CA 94611-5642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 22/12/2021 |