| Joseph K Yau Md Llc | |
|
2215 E High Ridge Ln Sandy UT 84092-4860 | |
| (801) 201-4348 | |
| Not Available |
| Full Name | Joseph K Yau Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2215 E High Ridge Ln, Sandy, Utah |
| Authorized Official Name and Position | Joseph K Yau (MANAGER) |
| Authorized Official Contact | 8012014348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph K Yau Md Llc 2215 E High Ridge Ln Sandy UT 84092-4860 Ph: (801) 201-4348 | Joseph K Yau Md Llc 2215 E High Ridge Ln Sandy UT 84092-4860 Ph: (801) 201-4348 |
| NPI Number | 1164898409 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 6406162411 |
|---|---|
| Medicare Enrollment ID | O20150904000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164898409 | NPI | - | NPPES |
| 572735305062 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 174377-1205 (Utah) | Primary |
| Provider Name | Joseph K Yau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639156649 PECOS PAC ID: 4880586353 Enrollment ID: I20040329000705 |
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