Doctor Name: | YUKFUNG LEE |
NPI Number: | 1013046911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA19018 |
Business Practice Address: | 795 El Camino Real Palo Alto, CA - 943012302 |
Business Phone Number: | 6503214121 |
Business Fax Number: | |
Mailing Address: | Po Box 60000, File No. 74010 SAN FRANCISCO |
State: | CA |
Postal Code: | 941600001 |
Phone Number: | 6503214121 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA19018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |