Provider Demographics
NPI:1528375532
Name:VILLARDO, CHRISTINE YAP (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:YAP
Last Name:VILLARDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W EL NORTE PKWY UNIT 142
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-2574
Mailing Address - Country:US
Mailing Address - Phone:412-915-7136
Mailing Address - Fax:
Practice Address - Street 1:2801 NW MERCY DR
Practice Address - Street 2:SUITE 340
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2348
Practice Address - Country:US
Practice Address - Phone:541-677-2494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD157928208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist