Individual
DR. ANTHONY FULMAN YIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 E VALLEY BLVD STE 6, SAN GABRIEL, CA 91776-3607
(626) 300-0885
(626) 300-0056
Mailing address
808 E VALLEY BLVD STE 6, SAN GABRIEL, CA 91776-3607
(626) 300-0885
(626) 300-0056
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
A25750
CA
2085R0202X
Diagnostic Radiology Physician
A25750
CA
2085U0001X
Diagnostic Ultrasound Physician
Primary
A25750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A257501
—
CA
Enumeration date
12/06/2006
Last updated
08/26/2013
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