MEDICARE: DR. AMBER L YEE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	200501285	NC
2	207Q00000X	Family Medicine Physician	A94050	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	140AR	OTHER	NC	BCBS NC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154306728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMBER L YEE M.D.

Provider Business Mailing Address
First Line	:	DEPT 34929
Second Line	:	P.O. BOX 39000
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-0001
Country	:	US
Telephone Number	:	925-952-2828
Fax Number	:	925-952-2850

Provider Business Practice Location Address
First Line	:	2213 BUCHANAN RD
Second Line	:	SUITE 103
City	:	ANTIOCH
State	:	CA
Zip	:	94509-4265
Country	:	US
Telephone Number	:	925-779-1331
Fax Number	:	925-779-1585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	06/21/2012

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