Healthcare Provider Details

I. General information

NPI: 1972990125
Provider Name (Legal Business Name): BRITTANY ELIZABETH YEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 12/17/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ARBOR DR #8425
SAN DIEGO CA
92103-9000
US

IV. Provider business mailing address

12395 EL CAMINO REAL STE 200
SAN DIEGO CA
92130-3082
US

V. Phone/Fax

Practice location:
  • Phone: 619-543-6268
  • Fax: 619-543-6528
Mailing address:
  • Phone: 858-755-6647
  • Fax: 858-755-5947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA14494
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: