Provider Demographics
NPI:1619841517
Name:YU, XINYI
Entity type:Individual
Prefix:
First Name:XINYI
Middle Name:
Last Name:YU
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:BELLA
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2140 WATERMARKE PL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-7691
Mailing Address - Country:US
Mailing Address - Phone:949-665-9852
Mailing Address - Fax:
Practice Address - Street 1:290 S PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-1522
Practice Address - Country:US
Practice Address - Phone:415-646-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician