Healthcare Provider Details

I. General information

NPI: 1548138027
Provider Name (Legal Business Name): JOZAEL YAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 CRENSHAW BLVD STE 215
LOS ANGELES CA
90043-1200
US

IV. Provider business mailing address

245 S SERRANO AVE APT 108
LOS ANGELES CA
90004-5250
US

V. Phone/Fax

Practice location:
  • Phone: 323-291-7100
  • Fax:
Mailing address:
  • Phone: 323-873-3619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: