Healthcare Provider Details

I. General information

NPI: 1639225675
Provider Name (Legal Business Name): DAVID S YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 05/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MEDICAL PLAZA DR SUITE 250
ROSEVILLE CA
95661-3087
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 916-797-4720
  • Fax: 916-797-4721
Mailing address:
  • Phone: 800-470-0071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA85890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: