Healthcare Provider Details

I. General information

NPI: 1467567388
Provider Name (Legal Business Name): JAMES C YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CREEKSIDE DR SUITE 3400
FOLSOM CA
95630-3444
US

IV. Provider business mailing address

1600 CREEKSIDE DR SUITE 3400
FOLSOM CA
95630-3444
US

V. Phone/Fax

Practice location:
  • Phone: 916-984-1234
  • Fax: 916-984-1248
Mailing address:
  • Phone: 916-984-1234
  • Fax: 916-984-1248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG45402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: