Healthcare Provider Details

I. General information

NPI: 1821247263
Provider Name (Legal Business Name): KING FOON YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2008
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 CRESCENT VIEW DR
WEST COVINA CA
91791-3718
US

IV. Provider business mailing address

2425 CRESCENT VIEW DR
WEST COVINA CA
91791-3718
US

V. Phone/Fax

Practice location:
  • Phone: 626-919-1177
  • Fax: 626-919-1177
Mailing address:
  • Phone: 626-919-1177
  • Fax: 626-919-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberGFE17000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: