Healthcare Provider Details

I. General information

NPI: 1386608917
Provider Name (Legal Business Name): WENDY YEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 ALA MOANA BLVD SUITE 500
HONOLULU HI
96815-1457
US

IV. Provider business mailing address

1620 ALA MOANA BLVD SUITE 500
HONOLULU HI
96815-1457
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-0255
  • Fax: 808-955-4155
Mailing address:
  • Phone: 808-955-0255
  • Fax: 808-955-4155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD 13080
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: