Healthcare Provider Details

I. General information

NPI: 1699166702
Provider Name (Legal Business Name): WOON TECK YAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JONATHAN YAP

II. Dates (important events)

Enumeration Date: 02/11/2015
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE FL 3
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

200 W ARBOR DR
SAN DIEGO CA
92103-9000
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1968
  • Fax:
Mailing address:
  • Phone:
  • Fax: 617-344-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA152654
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA152654
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number330656
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: