Provider Demographics
NPI:1093593311
Name:NIU, YU
Entity Type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:NIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2460
Mailing Address - Country:US
Mailing Address - Phone:650-490-0797
Mailing Address - Fax:
Practice Address - Street 1:1111 W EL CAMINO REAL STE 121
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1057
Practice Address - Country:US
Practice Address - Phone:650-490-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19862171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist