Individual provider Active NPI

Yung Kee, M.D.

  • Ph.D. Medical Genetics
  • Costa Mesa, CA
National Provider Identifier
1972559920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
C41280 Issued in CA
Practice address
440 Fair Dr
Suite N
Costa Mesa, CA 92626-6274
Phone
(714) 545-9304
Fax
(714) 545-9509
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics 170100000X C41280 CA Primary

Addresses

Primary practice location

440 Fair Dr
Suite N
Costa Mesa, CA 92626-6274

Mailing address

440 Fair Dr
Suite N
Costa Mesa, CA 92626-6274
Phone (714) 545-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000711 CA Practitioner - Family Practice 4486736766 Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41280CAMDDentist
C41280CAMDPh.D. Medical Genetics

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972559920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "SUITE N",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266274",
            "telephone_number": "714-545-9304",
            "fax_number": "714-545-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "SUITE N",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266274",
            "telephone_number": "714-545-9304",
            "fax_number": "714-545-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "YUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "C41280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.