Provider Demographics
NPI:1154496214
Name:JOHNSTON YEE FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:JOHNSTON YEE FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-458-5099
Mailing Address - Street 1:8285 W ARBY AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2228
Mailing Address - Country:US
Mailing Address - Phone:702-458-5099
Mailing Address - Fax:702-458-5199
Practice Address - Street 1:8285 W ARBY AVE STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2228
Practice Address - Country:US
Practice Address - Phone:702-458-5099
Practice Address - Fax:702-458-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty