Healthcare Provider Details

I. General information

NPI: 1386851616
Provider Name (Legal Business Name): CLIFFORD YIP PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARNASSUS AVE, ROOM C-152 DEPARTMENT OF CLINICAL PHARMACY, UCSF
SAN FRANCISCO CA
94143-0622
US

IV. Provider business mailing address

258 5TH AVE
SAN FRANCISCO CA
94118-2308
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1181
  • Fax: 415-514-2680
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: