Provider Demographics
NPI:1467010728
Name:YAP, JIUNN LIANG JONATHAN (MD)
Entity Type:Individual
Prefix:MR
First Name:JIUNN LIANG JONATHAN
Middle Name:
Last Name:YAP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4860 Y STR, STE. 2820
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-5191
Mailing Address - Fax:916-734-8394
Practice Address - Street 1:4860 Y STR, STE. 2820
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-5191
Practice Address - Fax:916-734-8394
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program