Organization Name: | VICTOR LYAPIS,M.D PROF CORP |
NPI Number: | 1528336047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTOR LYAPIS (OWNER) |
Mailing Address: | 2320 Sutter St Ste 101 San Francisco |
State: | CA US |
Postal Code: | 941153023 |
Phone Number: | 4157714072 |
Fax Number: | 4159281311 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A054424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |