Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 64988 | CA |
NPI | 1922369305 |
---|---|
Provider Name | Dr. Michael Yap Alanes |
First Address | Los Angeles, CA 90042-4326 |
Second Address | Los Angeles, CA 90042-4326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2012 |
Last Update Date | 28/12/2021 |