Provider Demographics
NPI:1932381126
Name:YEE, CARY KA-HUM (MD)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:KA-HUM
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CENTRAL AVE
Mailing Address - Street 2:STE 187
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6516
Mailing Address - Country:US
Mailing Address - Phone:951-536-5123
Mailing Address - Fax:951-741-5214
Practice Address - Street 1:600 CENTRAL AVE
Practice Address - Street 2:STE 187
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6516
Practice Address - Country:US
Practice Address - Phone:951-536-5123
Practice Address - Fax:951-742-5214
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 39133208D00000X
CAA39133207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine