Provider Demographics
NPI:1457444010
Name:SAITO, YURI LILLIE (PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:YURI
Middle Name:LILLIE
Last Name:SAITO
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 111836
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95011-1836
Mailing Address - Country:US
Mailing Address - Phone:408-378-0253
Mailing Address - Fax:
Practice Address - Street 1:795 WILLOW ROAD
Practice Address - Street 2:MAIL CODE 180D
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-617-2787
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA218084364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult