1679664346 NPI number — BRIAN YEE M.D.

Table of content: BRIAN YEE M.D. (NPI 1679664346)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679664346 NPI number — BRIAN YEE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YEE
Provider First Name:
BRIAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679664346
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1633 ERRINGER RD
Provider Second Line Business Mailing Address:
1ST FLOOR
Provider Business Mailing Address City Name:
SIMI VALLEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93065-3583
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-578-8300
Provider Business Mailing Address Fax Number:
805-578-3911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16453 COLORADO AVE
Provider Second Line Business Practice Location Address:
DEPT OF PATHOLOGY
Provider Business Practice Location Address City Name:
PARAMOUNT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90723-5011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-408-7423
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  A49036 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)