Healthcare Provider Details

I. General information

NPI: 1962671115
Provider Name (Legal Business Name): LINCOLN S YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W SAN BERNARDINO RD
COVINA CA
91723-1516
US

IV. Provider business mailing address

275 W SAN BERNARDINO RD
COVINA CA
91723-1516
US

V. Phone/Fax

Practice location:
  • Phone: 626-331-3311
  • Fax: 626-331-6046
Mailing address:
  • Phone: 626-331-3311
  • Fax: 626-331-6046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG48746
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: