Provider Demographics
NPI:1487862066
Name:YIP, JASON STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:STEPHEN
Last Name:YIP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:408 S BEACH BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-1869
Mailing Address - Country:US
Mailing Address - Phone:714-527-6000
Mailing Address - Fax:714-527-2371
Practice Address - Street 1:408 S BEACH BLVD STE 211
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1869
Practice Address - Country:US
Practice Address - Phone:714-527-6000
Practice Address - Fax:714-527-2371
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2014-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120176207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology