Provider Demographics
NPI:1093848830
Name:YU, JASON CHIT LUM (PT,DPT,OMT,ATC,CSCS)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:CHIT LUM
Last Name:YU
Suffix:
Gender:M
Credentials:PT,DPT,OMT,ATC,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 FUNSTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2116
Mailing Address - Country:US
Mailing Address - Phone:415-225-7537
Mailing Address - Fax:
Practice Address - Street 1:5 BON AIR RD
Practice Address - Street 2:STE A - 105
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1143
Practice Address - Country:US
Practice Address - Phone:415-927-2007
Practice Address - Fax:415-927-7272
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist