MEDICARE: ZIKI WONG YIP NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	95014888	CA

General Provider Information

NPI Number	:	1326798893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZIKI WONG YIP NP

Provider Business Mailing Address
First Line	:	2677 LEIX WAY
Second Line	:
City	:	SOUTH SAN FRANCISCO
State	:	CA
Zip	:	94080-3849
Country	:	US
Telephone Number	:	650-773-9779
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 STOCKTON ST STE 328
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-1676
Country	:	US
Telephone Number	:	415-398-2698
Fax Number	:	415-398-2686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2022
Last Update Date	:	09/19/2022

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Directions to “ ZIKI WONG YIP NP” Practice Location

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