Provider Demographics
NPI:1710058698
Name:GEE, JOEY ROBERT (DO)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:ROBERT
Last Name:GEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 CAMINO DE LOS MARES STE 305
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-2841
Mailing Address - Country:US
Mailing Address - Phone:949-388-1060
Mailing Address - Fax:855-523-0512
Practice Address - Street 1:665 CAMINO DE LOS MARES STE 305
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-2841
Practice Address - Country:US
Practice Address - Phone:949-388-1060
Practice Address - Fax:855-523-0512
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI131132084N0400X
CA20A75762084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100367982Medicaid
CA00AX75760Medicaid
CA00AX75760Medicaid
CAW20A7576AMedicare PIN