Provider Demographics
NPI:1508299942
Name:YAP, LEONCIO PACIENTE JR (NP)
Entity Type:Individual
Prefix:
First Name:LEONCIO
Middle Name:PACIENTE
Last Name:YAP
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:LUN
Other - Middle Name:HSIU
Other - Last Name:YEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:137 S ASPEN CT STE A
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5381
Mailing Address - Country:US
Mailing Address - Phone:593-346-7205
Mailing Address - Fax:559-429-8240
Practice Address - Street 1:137 S ASPEN CT STE A
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5381
Practice Address - Country:US
Practice Address - Phone:707-315-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily