=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710058698
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOEY ROBERT GEE DO
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2006
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 665 CAMINO DE LOS MARES STE 305
-----------------------------------------------------
City | SAN CLEMENTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92673-2841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-388-1060
-----------------------------------------------------
Fax | 855-523-0512
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 665 CAMINO DE LOS MARES STE 305
-----------------------------------------------------
City | SAN CLEMENTE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92673-2841
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-388-1060
-----------------------------------------------------
Fax | 855-523-0512
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 13113
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 20A7576
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | DO-07061
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------