Provider Demographics
NPI:1255770624
Name:YAP, BERNICE CO (MD)
Entity type:Individual
Prefix:DR
First Name:BERNICE
Middle Name:CO
Last Name:YAP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 ELUA ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1213
Mailing Address - Country:US
Mailing Address - Phone:808-246-3800
Mailing Address - Fax:808-246-3801
Practice Address - Street 1:3216 ELUA ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1213
Practice Address - Country:US
Practice Address - Phone:808-246-3800
Practice Address - Fax:808-246-3801
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD18429207Q00000X
TX573605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine