Healthcare Provider Details

I. General information

NPI: 1720301070
Provider Name (Legal Business Name): DR. BONNIE F YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BONNIE YEE PSY.D.

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4281 KATELLA AVE SUITE #122
LOS ALAMITOS CA
90720-3500
US

IV. Provider business mailing address

4281 KATELLA AVE SUITE #122
LOS ALAMITOS CA
90720-3500
US

V. Phone/Fax

Practice location:
  • Phone: 714-229-9900
  • Fax: 714-229-9959
Mailing address:
  • Phone: 714-229-9900
  • Fax: 714-229-9959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY22076
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY22076
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY22076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: