Provider Demographics
NPI:1477531226
Name:YEE, BOBBY (DPM)
Entity Type:Individual
Prefix:DR
First Name:BOBBY
Middle Name:
Last Name:YEE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:880 CASS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2947
Mailing Address - Country:US
Mailing Address - Phone:831-646-8242
Mailing Address - Fax:831-646-8373
Practice Address - Street 1:910 MAJOR SHERMAN LN
Practice Address - Street 2:SUITE 300
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4642
Practice Address - Country:US
Practice Address - Phone:831-646-8242
Practice Address - Fax:831-646-8373
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3721213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE3721OtherSTATE LICENSE NUMBER
CAE3721OtherSTATE LICENSE NUMBER
CA000E372100Medicare ID - Type Unspecified