Individual
CHALEE YIMYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2205
(619) 524-1707
Mailing address
330 13TH ST APT 2207, SAN DIEGO, CA 92101-4762
(253) 600-7330
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5976
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
11694035-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5976
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3948
FL
390200000X
Student in an Organized Health Care Education/Training Program
E5976
CA
Other
Enumeration date
05/03/2017
Last updated
05/03/2024
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