Healthcare Provider Details

I. General information

NPI: 1427372358
Provider Name (Legal Business Name): PRISCILLA GING YONG YEE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 05/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 BUCHANAN ST. 1ST FLOOR PHYSICIAN'S LOUNGE
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

V. Phone/Fax

Practice location:
  • Phone: 415-998-4753
  • Fax: 415-369-1240
Mailing address:
  • Phone: 916-843-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA111022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: