Provider Demographics
NPI:1306529623
Name:LEI, YATING (RDN)
Entity type:Individual
Prefix:
First Name:YATING
Middle Name:
Last Name:LEI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 AMELIA EARHART AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-4004
Mailing Address - Country:US
Mailing Address - Phone:415-939-0293
Mailing Address - Fax:
Practice Address - Street 1:880 W MAUDE AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-2920
Practice Address - Country:US
Practice Address - Phone:425-326-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered