# LYG, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DOLPHIN ORTHOPEDIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255362406
- **Authorized official:** DR. LINCOLN S YEE M.D. (PRESIDENT)
- **Authorized official phone:** (949) 718-9292

## Contact information

- **Practice address:** 1401 AVOCADO AVE STE 105, NEWPORT BEACH, CA 92660-7710
- **Practice address phone:** (949) 718-9292
- **Practice address fax:** (949) 718-9293
- **Mailing address:** 1401 AVOCADO AVE STE 105, NEWPORT BEACH, CA 92660-7710
- **Mailing address phone:** (949) 718-9292
- **Mailing address fax:** (949) 718-9293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G048746 | CA | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 04/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G487460 | — | CA |
| 01 | — | W22104 | MEDICARE IDENTIFICATION NUMBER | CA |
