Basic Information
Provider Information
NPI: 1376094870
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YAP
FirstName: LING CHU
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 PARNASSUS AVE FL 4
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432203
CountryCode: US
TelephoneNumber: 4154769035
FaxNumber:  
Practice Location
Address1: 500 PARNASSUS AVE FL 4
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432203
CountryCode: US
TelephoneNumber: 4154769035
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/19/2016
LastUpdateDate: 06/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XSPI458CAY Allopathic & Osteopathic PhysiciansAnesthesiology 
282N00000XF458CAN HospitalsGeneral Acute Care Hospital 

No ID Information.


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