Provider Demographics
NPI:1477629038
Name:YEE, JOHN K (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:K
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1120 W LA PALMA AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2801
Mailing Address - Country:US
Mailing Address - Phone:714-772-2390
Mailing Address - Fax:714-772-6147
Practice Address - Street 1:1120 W LA PALMA AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2801
Practice Address - Country:US
Practice Address - Phone:714-772-2390
Practice Address - Fax:714-772-6147
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2011-10-06
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Provider Licenses
StateLicense IDTaxonomies
CAG34852207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A46117Medicare UPIN