Provider Demographics
NPI:1861418543
Name:YEE, ALAN RUSSELL (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:RUSSELL
Last Name:YEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1300 ETHAN WAY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-679-3590
Mailing Address - Fax:916-482-3647
Practice Address - Street 1:1508 ALHAMBRA BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6510
Practice Address - Country:US
Practice Address - Phone:916-325-1040
Practice Address - Fax:916-669-4100
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG33496207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G334960Medicaid
CA00G334961Medicare PIN
CA00G334960Medicaid