Healthcare Provider Details

I. General information

NPI: 1114542321
Provider Name (Legal Business Name): HONG YEE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 BAYWOOD DR
BREA CA
92821-1905
US

IV. Provider business mailing address

1220 BAYWOOD DR
BREA CA
92821-1905
US

V. Phone/Fax

Practice location:
  • Phone: 408-464-7492
  • Fax:
Mailing address:
  • Phone: 408-464-7492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3593
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: