Provider Demographics
NPI:1770666448
Name:YEE, PHILIP C (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:C
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5401 NORRIS CANYON RD STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5408
Mailing Address - Country:US
Mailing Address - Phone:925-275-1811
Mailing Address - Fax:925-275-1814
Practice Address - Street 1:5401 NORRIS CANYON RD STE 208
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5408
Practice Address - Country:US
Practice Address - Phone:925-275-1811
Practice Address - Fax:925-275-1814
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG056573207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE30088Medicare UPIN
CAZZZ25254ZMedicare ID - Type Unspecified