Individual
JACKSON YIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 CLEMENT ST, SAN FRANCISCO, CA 94118-2206
(415) 668-5955
Mailing address
3626 BALBOA ST, SAN FRANCISCO, CA 94121-2604
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
01/28/2026
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