=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932381126
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CARY KA-HUM YEE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/29/2007
-----------------------------------------------------
Last Update Date | 04/05/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 CENTRAL AVE STE 187
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92507-6516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-536-5123
-----------------------------------------------------
Fax | 951-742-5214
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 CENTRAL AVE STE 187
-----------------------------------------------------
City | RIVERSIDE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92507-6516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-536-5123
-----------------------------------------------------
Fax | 951-741-5214
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | A 39133
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | A39133
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | A39133
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------