Healthcare Provider Details

I. General information

NPI: 1730642596
Provider Name (Legal Business Name): PHILINA YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 E DAILY DR STE 110
CAMARILLO CA
93010-6077
US

IV. Provider business mailing address

751 E DAILY DR STE 110
CAMARILLO CA
93010-6077
US

V. Phone/Fax

Practice location:
  • Phone: 805-987-8705
  • Fax: 805-987-7765
Mailing address:
  • Phone: 805-987-8705
  • Fax: 805-987-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA187686
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberA187686
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: