Healthcare Provider Details

I. General information

NPI: 1144050428
Provider Name (Legal Business Name): RAYLIAN HIU YIP PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 E HIGHLAND AVE
PATTON CA
92369-7813
US

IV. Provider business mailing address

3138 E HILLSIDE DR
WEST COVINA CA
91791-3471
US

V. Phone/Fax

Practice location:
  • Phone: 909-359-4216
  • Fax:
Mailing address:
  • Phone: 626-381-8012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT21718
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: