Healthcare Provider Details

I. General information

NPI: 1487945515
Provider Name (Legal Business Name): YEE'S ACUPUNCTURE AND HERBS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2011
Last Update Date: 04/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3144 OCEAN TER
MARINA CA
93933-3291
US

IV. Provider business mailing address

3144 OCEAN TER
MARINA CA
93933-3291
US

V. Phone/Fax

Practice location:
  • Phone: 831-883-8888
  • Fax:
Mailing address:
  • Phone: 831-883-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC10905
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW EDWARD YEE
Title or Position: DOCTOR OF ORIENTAL MEDICINE
Credential: O.M.D
Phone: 831-883-8889