Provider Demographics
NPI:1912088162
Name:YIP, FELIX CHI-MING (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX CHI-MING
Middle Name:
Last Name:YIP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N GARFIELD AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1169
Mailing Address - Country:US
Mailing Address - Phone:626-288-0889
Mailing Address - Fax:626-288-1129
Practice Address - Street 1:600 N GARFIELD AVE STE 308
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1169
Practice Address - Country:US
Practice Address - Phone:626-288-0889
Practice Address - Fax:626-288-1129
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46406208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G464060Medicaid
CA00G464061Medicaid
CAB57792Medicare UPIN
CA00G464061Medicaid