Healthcare Provider Details

I. General information

NPI: 1003246869
Provider Name (Legal Business Name): KAI-YIN SEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2013
Last Update Date: 06/20/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KAISER PERMANENTE RADIOLOGY DEPT OFFICE 1666 2500 MERCED STREET
SAN LEANDRO CA
94577
US

IV. Provider business mailing address

KAISER PERMANENTE, RADIOLOGY DEPT, OFFICE 1666 2500 MERCED STREET
SAN LEANDRO CA
94577
US

V. Phone/Fax

Practice location:
  • Phone: 510-454-1000
  • Fax:
Mailing address:
  • Phone: 510-954-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License NumberA145638
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: