Provider Demographics
NPI:1104835065
Name:YEH, WEILEE EDDIE (MD)
Entity Type:Individual
Prefix:
First Name:WEILEE
Middle Name:EDDIE
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41511 E FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-5802
Mailing Address - Country:US
Mailing Address - Phone:951-658-3227
Mailing Address - Fax:951-652-6267
Practice Address - Street 1:41511 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-5802
Practice Address - Country:US
Practice Address - Phone:951-658-3227
Practice Address - Fax:951-652-6267
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA067923207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A679230Medicaid
CAZZZ18314ZMedicare ID - Type Unspecified
CAG62708Medicare UPIN