Provider Demographics
NPI:1811776255
Name:YAP, ELIZABETH (CPNP-PC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:YAP
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 GONDAR AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2131
Mailing Address - Country:US
Mailing Address - Phone:714-333-6737
Mailing Address - Fax:
Practice Address - Street 1:1401 AVOCADO AVE STE 802
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7784
Practice Address - Country:US
Practice Address - Phone:949-644-0970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025547208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics