Healthcare Provider Details

I. General information

NPI: 1346254463
Provider Name (Legal Business Name): ALEXANDER G. YAP M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 BERRY ST APT 712
SAN FRANCISCO CA
94158-1650
US

IV. Provider business mailing address

235 BERRY ST APT 712
SAN FRANCISCO CA
94158-1650
US

V. Phone/Fax

Practice location:
  • Phone: 650-922-5141
  • Fax: 650-922-5141
Mailing address:
  • Phone: 650-922-5141
  • Fax: 650-591-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberM-1755
License Number StateGU
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberA37855
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: