Healthcare Provider Details

I. General information

NPI: 1023691052
Provider Name (Legal Business Name): STEPHANIE YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 S GARFIELD AVE STE 204
ALHAMBRA CA
91801-4429
US

IV. Provider business mailing address

723 S GARFIELD AVE STE 204
ALHAMBRA CA
91801-4429
US

V. Phone/Fax

Practice location:
  • Phone: 626-289-9788
  • Fax:
Mailing address:
  • Phone: 626-289-9788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA196990
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: