MEDICARE: DR. TEDDY M YAP MD

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	207R00000X	Internal Medicine Physician	35120442	OH
2	207R00000X	Internal Medicine Physician	26391	NV

General Provider Information

NPI Number	:	1699938779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEDDY M YAP MD

Provider Business Mailing Address
First Line	:	1400E PALOMAR ST
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91913-1800
Country	:	US
Telephone Number	:	858-499-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3311 S RAINBOW BLVD STE 108
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6596
Country	:	US
Telephone Number	:	702-703-5597
Fax Number	:

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

Provider Enumeration Date	:	07/08/2008
Last Update Date	:	03/05/2025

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