Individual
DR. DAE IK YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(301) 928-9577
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(301) 928-9577
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A190005
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
11/01/2023
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