Provider Demographics
NPI:1801889365
Name:YEE, TING S (MD)
Entity type:Individual
Prefix:
First Name:TING
Middle Name:S
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15243 VANOWEN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3605
Mailing Address - Country:US
Mailing Address - Phone:818-782-5041
Mailing Address - Fax:818-205-9091
Practice Address - Street 1:14901 RINALDI ST
Practice Address - Street 2:SUITE 110
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1204
Practice Address - Country:US
Practice Address - Phone:818-365-1339
Practice Address - Fax:818-898-3401
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2020-03-11
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Provider Licenses
StateLicense IDTaxonomies
CAG37806207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G3780600Medicaid
CAWG37806EMedicare PIN
CAWG37806LMedicare PIN
CAWG37806GMedicare PIN
CAWG37806MMedicare PIN
CAA47236Medicare UPIN
CAWG37806JMedicare PIN
CAWG37806KMedicare PIN