Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 37638 | CA |
NPI | 1114101938 |
---|---|
Provider Name | Dr. Edward Yap Chan |
First Address | Milpitas, CA 95035-6809 |
Second Address | Milpitas, CA 95035-6809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2007 |
Last Update Date | 28/12/2007 |