Healthcare Provider Details

I. General information

NPI: 1205234713
Provider Name (Legal Business Name): KEVIN EDWARD YEE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2014
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7257 W SUNSET BLVD
LOS ANGELES CA
90046-3409
US

IV. Provider business mailing address

7257 W SUNSET BLVD
LOS ANGELES CA
90046-3409
US

V. Phone/Fax

Practice location:
  • Phone: 323-512-0268
  • Fax: 323-512-7953
Mailing address:
  • Phone: 323-512-0268
  • Fax: 323-512-7953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number69604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: