Provider Demographics
NPI:1497883599
Name:LAW, YU-HONG (MD)
Entity Type:Individual
Prefix:
First Name:YU-HONG
Middle Name:
Last Name:LAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ABRAHAM
Other - Middle Name:YU-HONG
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:RM 1723
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4101
Mailing Address - Country:US
Mailing Address - Phone:415-362-7177
Mailing Address - Fax:415-362-8309
Practice Address - Street 1:2147 MOWRY AVE
Practice Address - Street 2:STE D3
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1724
Practice Address - Country:US
Practice Address - Phone:510-648-2087
Practice Address - Fax:510-894-1205
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC41936208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C419360Medicaid
CAF21101Medicare UPIN
CA00C419362Medicare ID - Type Unspecified