Provider Demographics
NPI:1477794717
Name:YIEE, JENNY HUIJU (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:HUIJU
Last Name:YIEE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:650 CHARLES YOUNG DRIVE, BOX 951738
Mailing Address - Street 2:DEPARTMENT OF UROLOGY, DAVID GEFFEN SCHOOL OF MEDICINE
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1738
Mailing Address - Country:US
Mailing Address - Phone:310-825-5088
Mailing Address - Fax:310-206-5343
Practice Address - Street 1:200 MEDICAL PLAZA STE 140
Practice Address - Street 2:CLARK UROLOGY CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-5088
Practice Address - Fax:310-206-5343
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2021-11-29
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Provider Licenses
StateLicense IDTaxonomies
CAA98030208800000X, 2088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology