Healthcare Provider Details

I. General information

NPI: 1730849696
Provider Name (Legal Business Name): PATRICIA CATHERINE YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2021
Last Update Date: 01/05/2022
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W HILLSDALE BLVD
SAN MATEO CA
94403-3125
US

IV. Provider business mailing address

1320 W HILLSDALE BLVD
SAN MATEO CA
94403-3125
US

V. Phone/Fax

Practice location:
  • Phone: 415-335-8558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number85676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: