Healthcare Provider Details

I. General information

NPI: 1932635224
Provider Name (Legal Business Name): KATHERINE DIANN YIP PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 05/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PULLMAN ST
LIVERMORE CA
94551-9756
US

IV. Provider business mailing address

7 RIVIERA CIR
REDWOOD CITY CA
94065-1305
US

V. Phone/Fax

Practice location:
  • Phone: 925-453-4013
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number69652
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: