=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215027560
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARON JULIANA YEE M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2006
-----------------------------------------------------
Last Update Date | 12/13/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 612 W DUARTE RD SUITE 304
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91007-7602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-446-4461
-----------------------------------------------------
Fax | 626-445-0647
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 612 W DUARTE RD SUITE 304
-----------------------------------------------------
City | ARCADIA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91007-7602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-446-4461
-----------------------------------------------------
Fax | 626-445-0647
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0002X
-----------------------------------------------------
Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | G45696
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number | G45696
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------