Provider Demographics
NPI:1730554379
Name:DAVID Y.S. YEE, LLC
Entity type:Organization
Organization Name:DAVID Y.S. YEE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:YS
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:808-536-4555
Mailing Address - Street 1:50 S BERETANIA ST
Mailing Address - Street 2:SUITE C-111
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2208
Mailing Address - Country:US
Mailing Address - Phone:808-536-4555
Mailing Address - Fax:808-536-9222
Practice Address - Street 1:50 S BERETANIA ST
Practice Address - Street 2:SUITE C-111
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2208
Practice Address - Country:US
Practice Address - Phone:808-536-4555
Practice Address - Fax:808-536-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPO-106261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1154438380OtherNPI TYPE 1