Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C54969 | CA |
N | 207X00000X | Orthopaedic Surgeon | MD00032538 | WA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | C54969 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD00032538 | WA |
NPI | 1013089663 |
---|---|
Provider Name | Dr. Gordon Gar Kwong Yee |
First Address | Loma Linda, CA 92354-3814 |
Second Address | Loma Linda, CA 92354-3814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 27/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G20957 | (02) |