Provider Demographics
NPI:1932183472
Name:GU, YI YI STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:YI YI
Middle Name:STEPHANIE
Last Name:GU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:GU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:350 30TH ST
Mailing Address - Street 2:#320
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3424
Mailing Address - Country:US
Mailing Address - Phone:510-465-6700
Mailing Address - Fax:510-465-7765
Practice Address - Street 1:350 30TH ST
Practice Address - Street 2:#320
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3424
Practice Address - Country:US
Practice Address - Phone:510-465-6700
Practice Address - Fax:510-465-7765
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88414207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology