Provider Demographics
NPI:1255068466
Name:YU, ZHEWEN (NP)
Entity type:Individual
Prefix:
First Name:ZHEWEN
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:388 9TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4294
Mailing Address - Country:US
Mailing Address - Phone:415-677-2370
Mailing Address - Fax:
Practice Address - Street 1:388 9TH ST STE 250
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4294
Practice Address - Country:US
Practice Address - Phone:415-677-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-07
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022120363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner