Healthcare Provider Details

I. General information

NPI: 1497755466
Provider Name (Legal Business Name): JOHN WAI-YING YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 W LAS POSITAS BLVD #130
PLEASANTON CA
94588-5801
US

IV. Provider business mailing address

5575 W LAS POSITAS BLVD #130
PLEASANTON CA
94588-5801
US

V. Phone/Fax

Practice location:
  • Phone: 925-463-0590
  • Fax: 925-463-0708
Mailing address:
  • Phone: 925-463-0590
  • Fax: 925-463-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG39802
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG39802
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG39802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: