Jean Yu
Exclusive Provider Organization in San Luis Obispo, CA. Organization (NPI-2).
NPI number1982154381
StatusActive
Last updated in NPPESOct 10, 2016
Details
- NPI
- 1982154381
- Entity type
- Organization (NPI-2)
- Legal business name
- Jean Yu
- Organization subpart
- No
- Enumeration date
- Oct 10, 2016
- Last updated
- Oct 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | AC3174 | CA | Yes |
Practice location
1415 Higuera StSan Luis Obispo, CA 93401-2915
Phone 805-543-8958 · Fax 805-543-4403
Mailing address
1415 Higuera StSan Luis Obispo, CA 93401-2915
Phone 805-543-8958 · Fax 805-543-4403
Authorized official
Jean Yu
Acupunturist
8055438958
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