Healthcare Provider Details

I. General information

NPI: 1093952798
Provider Name (Legal Business Name): VERONICA YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E BIRCH ST
CALEXICO CA
92231
US

IV. Provider business mailing address

450 E BIRCH ST
CALEXICO CA
92231-2375
US

V. Phone/Fax

Practice location:
  • Phone: 760-768-6262
  • Fax:
Mailing address:
  • Phone: 760-768-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA105150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: