Healthcare Provider Details

I. General information

NPI: 1366605461
Provider Name (Legal Business Name): SEINT WUT YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 FAIRVIEW AVE APT 8
ARCADIA CA
91007-6816
US

IV. Provider business mailing address

440 E HUNTINGTON DR STE 200
ARCADIA CA
91006-3775
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-1690
  • Fax:
Mailing address:
  • Phone: 626-254-2129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA104794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: