Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | A109553 | CA |
NPI | 1558528976 |
---|---|
Provider Name | Mr. Kevin Yee-Bien Tse |
First Address | La Jolla, CA 92093-5004 |
Second Address | La Jolla, CA 92037-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 17/11/2021 |