Healthcare Provider Details
I. General information
NPI: 1013069814
Provider Name (Legal Business Name): NGAI MING YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6600 BRUCEVILLE RD
SACRAMENTO CA
95823-4671
US
IV. Provider business mailing address
1800 HARRISON ST FL 7
OAKLAND CA
94612-3429
US
V. Phone/Fax
- Phone: 916-688-2000
- Fax:
- Phone: 510-625-6262
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | G36392 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: