Provider Demographics
NPI:1992182661
Name:YUEN, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:YUEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SULLIVAN AVENUE
Mailing Address - Street 2:SUITE 508
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2225
Mailing Address - Country:US
Mailing Address - Phone:323-688-6875
Mailing Address - Fax:844-300-7616
Practice Address - Street 1:1800 SULLIVAN AVENUE
Practice Address - Street 2:SUITE 508
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2225
Practice Address - Country:US
Practice Address - Phone:323-688-6875
Practice Address - Fax:844-300-7616
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1600322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100167918Medicaid