Provider Demographics
NPI:1801923891
Name:YATABE, KAY (MD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:
Last Name:YATABE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PIERCE ST
Mailing Address - Street 2:MAXINE HALL HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-4005
Mailing Address - Country:US
Mailing Address - Phone:415-292-1300
Mailing Address - Fax:415-928-6487
Practice Address - Street 1:1301 PIERCE ST
Practice Address - Street 2:MAXINE HALL HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-4005
Practice Address - Country:US
Practice Address - Phone:415-292-1300
Practice Address - Fax:415-928-6487
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38022207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
021436OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
021436OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER