Organization · NPI-2

Elisa Yao MD

Clinic/Center · Mountain View, CA

NPI number1265042006
StatusActive
Last updated in NPPESFeb 3, 2021

Details

NPI
1265042006
Entity type
Organization (NPI-2)
Legal business name
Elisa Yao MD
Organization subpart
No
Enumeration date
Aug 6, 2020
Certification date
Feb 3, 2021
Last updated
Feb 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

530 Showers Dr Ste 7-212
Mountain View, CA 94040-4740

Phone 650-476-9193

Mailing address

530 Showers Dr Ste 7-212
Mountain View, CA 94040-4740

Phone 650-476-9193

Authorized official

Elisa Yao
President
6504769193

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