Provider Demographics
NPI:1730407032
Name:BAI, YUZHUO (LAC)
Entity type:Individual
Prefix:
First Name:YUZHUO
Middle Name:
Last Name:BAI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1077 TOPAZ AVE
Mailing Address - Street 2:APT 16
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-2766
Mailing Address - Country:US
Mailing Address - Phone:408-859-8558
Mailing Address - Fax:
Practice Address - Street 1:1077 TOPAZ AVE
Practice Address - Street 2:APT 16
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117-2766
Practice Address - Country:US
Practice Address - Phone:408-859-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13173171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist