Healthcare Provider Details

I. General information

NPI: 1477531226
Provider Name (Legal Business Name): BOBBY YEE D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 10/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 MAJOR SHERMAN LN SUITE 300
MONTEREY CA
93940-4642
US

IV. Provider business mailing address

880 CASS ST SUITE 201
MONTEREY CA
93940-2947
US

V. Phone/Fax

Practice location:
  • Phone: 831-646-8242
  • Fax: 831-646-8373
Mailing address:
  • Phone: 831-646-8242
  • Fax: 831-646-8373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE3721
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: