Healthcare Provider Details

I. General information

NPI: 1962284307
Provider Name (Legal Business Name): YIP HUANG CRUM AFZALI PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 10/19/2023
Certification Date: 10/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23550 HAWTHORNE BLVD STE 180
TORRANCE CA
90505-4721
US

IV. Provider business mailing address

23550 HAWTHORNE BLVD STE 180
TORRANCE CA
90505-4721
US

V. Phone/Fax

Practice location:
  • Phone: 310-683-2227
  • Fax:
Mailing address:
  • Phone: 310-683-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: FELIX KYLE YIP
Title or Position: PARTNER
Credential: DDS MD
Phone: 310-683-2227