Provider Demographics
NPI:1295814416
Name:IP, TZE YUNG (MD)
Entity Type:Individual
Prefix:
First Name:TZE YUNG
Middle Name:
Last Name:IP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:T Y
Other - Middle Name:STEVEN
Other - Last Name:IP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:351 HOSPITAL RD
Mailing Address - Street 2:#319
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663
Mailing Address - Country:US
Mailing Address - Phone:949-548-0300
Mailing Address - Fax:949-548-2896
Practice Address - Street 1:351 HOSPITAL RD
Practice Address - Street 2:#319
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-548-0300
Practice Address - Fax:949-548-0300
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA063154208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery