Healthcare Provider Details
I. General information
NPI: 1669529236
Provider Name (Legal Business Name): DANA YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 REDONDO AVE SUITE 402
LONG BEACH CA
90806-2325
US
IV. Provider business mailing address
2600 REDONDO AVE SUITE 402
LONG BEACH CA
90806-2325
US
V. Phone/Fax
- Phone: 714-276-4150
- Fax:
- Phone: 714-276-4150
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZB0001X |
| Taxonomy | Blood Banking & Transfusion Medicine Physician |
| License Number | A 048869 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: