Provider Demographics
NPI:1811089303
Name:YU, HANS (DO)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 NORIEGA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4431
Mailing Address - Country:US
Mailing Address - Phone:415-759-3777
Mailing Address - Fax:415-759-6368
Practice Address - Street 1:1431 NORIEGA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4431
Practice Address - Country:US
Practice Address - Phone:415-759-3777
Practice Address - Fax:415-759-6368
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6048207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX60481Medicaid
CA943177592OtherEIN
CA943177592OtherEIN
CA020A60480Medicare ID - Type Unspecified