Basic Information
| Provider Information | |||||||||
| NPI: | 1053476796 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NIP | ||||||||
| FirstName: | HO YAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 982 MISSION ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941032911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155978053 | ||||||||
| FaxNumber: | 4155978004 | ||||||||
| Practice Location | |||||||||
| Address1: | 982 MISSION ST | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941032911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155978053 | ||||||||
| FaxNumber: | 4155978004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2006 | ||||||||
| LastUpdateDate: | 05/11/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 1041C0700X | LCSW62422 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | ASW 28705 | CA | N | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.