Healthcare Provider Details

I. General information

NPI: 1497316608
Provider Name (Legal Business Name): AMANDA MERCEDES YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MERCEDES YEE

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20642 JOHN DR
CASTRO VALLEY CA
94546-5103
US

IV. Provider business mailing address

20642 JOHN DR
CASTRO VALLEY CA
94546-5103
US

V. Phone/Fax

Practice location:
  • Phone: 510-785-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA191702
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: