Healthcare Provider Details

I. General information

NPI: 1972559920
Provider Name (Legal Business Name): YUNG KEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 FAIR DR SUITE N
COSTA MESA CA
92626-6274
US

IV. Provider business mailing address

440 FAIR DR SUITE N
COSTA MESA CA
92626-6274
US

V. Phone/Fax

Practice location:
  • Phone: 714-545-9304
  • Fax: 714-545-9509
Mailing address:
  • Phone: 714-545-9304
  • Fax: 714-545-9509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberC41280
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: