Provider Demographics
NPI:1477065167
Name:YUEN, NAOMI TAKEI (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:TAKEI
Last Name:YUEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2504
Mailing Address - Country:US
Mailing Address - Phone:925-254-1211
Mailing Address - Fax:925-254-1290
Practice Address - Street 1:282 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2504
Practice Address - Country:US
Practice Address - Phone:925-254-1211
Practice Address - Fax:925-254-1290
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist