Healthcare Provider Details
I. General information
NPI: 1184894222
Provider Name (Legal Business Name): HELEN S. YEE M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/05/2008
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3975 OLD REDWOOD HWY MOB 5 SUITE 152
SANTA ROSA CA
95403-1719
US
IV. Provider business mailing address
3975 OLD REDWOOD HWY MOB 5 SUITE 152
SANTA ROSA CA
95403-1719
US
V. Phone/Fax
- Phone: 707-566-5557
- Fax: 707-566-5517
- Phone: 707-566-5557
- Fax: 707-566-5517
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | A103341 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: