Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A84729 | CA |
Y | 207QS0010X | Family Doctor - Sports Medicine | A84729 | CA |
NPI | 1285658427 |
---|---|
Provider Name | Dr. Chill Chew Yee |
First Address | Sacramento, CA 95827-2539 |
Second Address | Roseville, CA 95661-3087 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 22/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I19356 | (02) | CA |