Healthcare Provider Details

I. General information

NPI: 1609303668
Provider Name (Legal Business Name): MELANIE YEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2017
Last Update Date: 12/18/2021
Certification Date: 12/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EL CAMINO REAL
SOUTH SAN FRANCISCO CA
94080-3208
US

IV. Provider business mailing address

317 PONDEROSA RD
SOUTH SAN FRANCISCO CA
94080-4220
US

V. Phone/Fax

Practice location:
  • Phone: 650-742-3110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number61654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: