Provider Demographics
NPI:1619929429
Name:YIP, JAMES YUEN KUEN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YUEN KUEN
Last Name:YIP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1552 COFFEE RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355
Mailing Address - Country:US
Mailing Address - Phone:209-521-4372
Mailing Address - Fax:209-523-2005
Practice Address - Street 1:1552 COFFEE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3107
Practice Address - Country:US
Practice Address - Phone:209-521-4372
Practice Address - Fax:209-523-2005
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG41324207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology