Provider Demographics
NPI:1225411028
Name:YAP, RYAN
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:YAP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 W 218TH ST
Mailing Address - Street 2:8
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-3850
Mailing Address - Country:US
Mailing Address - Phone:909-831-3498
Mailing Address - Fax:
Practice Address - Street 1:1664 W 218TH ST
Practice Address - Street 2:8
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3850
Practice Address - Country:US
Practice Address - Phone:909-831-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2047224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant