Healthcare Provider Details

I. General information

NPI: 1023130713
Provider Name (Legal Business Name): LAWRENCE ZALE YEE M.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15047 LOS GATOS BLVD SUITE 180
LOS GATOS CA
95032-2054
US

IV. Provider business mailing address

2166 CRUDEN BAY WAY
GILROY CA
95020-3082
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-6505
  • Fax: 408-358-6404
Mailing address:
  • Phone: 408-846-0118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberCA32061
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: