Healthcare Provider Details

I. General information

NPI: 1588847362
Provider Name (Legal Business Name): MICHAEL UY YAP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 09/04/2023
Certification Date: 09/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S MAIN ST STE 101
ORANGE CA
92868-4535
US

IV. Provider business mailing address

2825 RICHMOND ST
SANTA ANA CA
92705-6839
US

V. Phone/Fax

Practice location:
  • Phone: 657-231-2099
  • Fax:
Mailing address:
  • Phone: 657-230-2099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA110518
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: