Healthcare Provider Details

I. General information

NPI: 1790199842
Provider Name (Legal Business Name): YEE ADVANCED ORTHOPEDICS & SPORTS MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 N DURANGO DR 218
LAS VEGAS NV
89149-4595
US

IV. Provider business mailing address

8420 W WARM SPRINGS RD 140
LAS VEGAS NV
89113-3624
US

V. Phone/Fax

Practice location:
  • Phone: 702-740-5327
  • Fax: 702-740-5328
Mailing address:
  • Phone: 702-740-5327
  • Fax: 702-740-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNV20051281372
License Number StateNV

VIII. Authorized Official

Name: RANDALL YEE
Title or Position: PHYSICIAN/OWNER
Credential: D.O.
Phone: 702-740-5327