Healthcare Provider Details

I. General information

NPI: 1982872255
Provider Name (Legal Business Name): JAMES C YEE MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
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: DR. JAMES C YEE
Title or Position: PRESIDENT
Credential: MD
Phone: 916-984-1234