Healthcare Provider Details

I. General information

NPI: 1336671825
Provider Name (Legal Business Name): MEY YIP M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 10/26/2023
Certification Date: 10/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 W ALAMEDA AVE STE 212
BURBANK CA
91505-4814
US

IV. Provider business mailing address

2601 W ALAMEDA AVE STE 212
BURBANK CA
91505-4814
US

V. Phone/Fax

Practice location:
  • Phone: 818-847-6990
  • Fax:
Mailing address:
  • Phone: 818-847-6990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA191424
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: