Provider Demographics
NPI:1275822884
Name:YIP, FELIX KYLE (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:KYLE
Last Name:YIP
Suffix:
Gender:
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23550 HAWTHORNE BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4721
Mailing Address - Country:US
Mailing Address - Phone:424-241-2001
Mailing Address - Fax:
Practice Address - Street 1:23550 HAWTHORNE BLVD STE 180
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4721
Practice Address - Country:US
Practice Address - Phone:424-241-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA135913204E00000X
CA602531223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery