Healthcare Provider Details

I. General information

NPI: 1083214894
Provider Name (Legal Business Name): RICHARD ALLEN YPINA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2020
Last Update Date: 08/25/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MDG UNIT 5142
APO AP
96368-5142
US

IV. Provider business mailing address

18 MDG UNIT 5142
APO AP
96368-5142
US

V. Phone/Fax

Practice location:
  • Phone: 98-960-4817
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1003X
TaxonomyIndependent Duty Medical Technicians
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: