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NPI Code Detail

MEDICARE: MR. SIMON M YEE MA

MEDICARE: MR. SIMON M YEE MA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1801961297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SIMON M YEE MA
Provider Business Mailing Address
First Line : 1260 MORENA BLVD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3850
Country : US
Telephone Number : 619-398-0355
Fax Number : 619-398-0350
Provider Business Practice Location Address
First Line : 1260 MORENA BLVD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92110-3850
Country : US
Telephone Number : 619-398-0355
Fax Number : 619-398-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 03/18/2011

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Directions to “ MR. SIMON M YEE MA” Practice Location

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