Provider Demographics
NPI:1851018915
Name:JIAO, YU
Entity type:Individual
Prefix:MS
First Name:YU
Middle Name:
Last Name:JIAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 COLIMA RD STE C
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6356
Mailing Address - Country:US
Mailing Address - Phone:909-787-0888
Mailing Address - Fax:
Practice Address - Street 1:317 N NICHOLSON AVE APT C
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-1883
Practice Address - Country:US
Practice Address - Phone:408-893-0840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19419171100000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist