MEDICARE: DR. HELENA T YIP MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	A82082	CA
2	207Y00000X	Otolaryngology Physician	A82082	CA

General Provider Information

NPI Number	:	1033193826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENA T YIP MD

Provider Business Mailing Address
First Line	:	577 AIRPORT BLVD
Second Line	:	SUITE 300
City	:	BURLINGAME
State	:	CA
Zip	:	94010-2408
Country	:	US
Telephone Number	:	650-240-8198
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 TROUSDALE DR
Second Line	:	3RD FLOOR
City	:	BURLINGAME
State	:	CA
Zip	:	94010-4506
Country	:	US
Telephone Number	:	650-240-8198
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	02/12/2014

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