MEDICARE: CHRISTINE YEE

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	152W00000X	Optometrist	34535	CA

General Provider Information

NPI Number	:	1639701329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE YEE

Provider Business Mailing Address
First Line	:	315 GREENBERRY DR
Second Line	:
City	:	LA PUENTE
State	:	CA
Zip	:	91744-3743
Country	:	US
Telephone Number	:	626-423-9181
Fax Number	:

Provider Business Practice Location Address
First Line	:	12759 FOOTHILL BLVD STE C
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-9336
Country	:	US
Telephone Number	:	909-899-0026
Fax Number	:

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

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	01/27/2023

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Directions to “ CHRISTINE YEE ” Practice Location

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