Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 60253 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | A135913 | CA |
NPI | 1275822884 |
---|---|
Provider Name | Dr. Felix Kyle Yip |
First Address | Arcadia, CA 91007-7331 |
Second Address | Arcadia, CA 91007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 22/08/2018 |