1386608917 NPI number — MS. WENDY YEE M.D.

Table of content: MS. WENDY YEE M.D. (NPI 1386608917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386608917 NPI number — MS. WENDY YEE M.D.

Organization/Personal Information

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

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:
1386608917
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1620 ALA MOANA BLVD
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96815-1457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-955-0255
Provider Business Mailing Address Fax Number:
808-955-4155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1620 ALA MOANA BLVD
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96815-1457
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-955-0255
Provider Business Practice Location Address Fax Number:
808-955-4155
Provider Enumeration Date:
04/12/2006

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: 174400000X , with the licence number:  MD 13080 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0000252783 . This is a "HMSA HONOLULU PROV#" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 56795101 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56795102 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00C252787 . This is a "HMSA QUEENS LOC PROV#" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 56795103 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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