Healthcare Provider Details

I. General information

NPI: 1508299942
Provider Name (Legal Business Name): LEONCIO PACIENTE YAP JR. NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LUN HSIU YEH NP

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S ASPEN CT STE A
VISALIA CA
93291-5381
US

IV. Provider business mailing address

137 S ASPEN CT STE A
VISALIA CA
93291-5381
US

V. Phone/Fax

Practice location:
  • Phone: 707-315-9653
  • Fax:
Mailing address:
  • Phone: 593-346-7205
  • Fax: 559-429-8240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: