Healthcare Provider Details

I. General information

NPI: 1477629038
Provider Name (Legal Business Name): JOHN K YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W LA PALMA AVE SUITE 11
ANAHEIM CA
92801-2801
US

IV. Provider business mailing address

1120 W LA PALMA AVE SUITE 11
ANAHEIM CA
92801-2801
US

V. Phone/Fax

Practice location:
  • Phone: 714-772-2390
  • Fax: 714-772-6147
Mailing address:
  • Phone: 714-772-2390
  • Fax: 714-772-6147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG34852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: