Basic Information
Provider Information
NPI: 1245599588
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEE
FirstName: PRISCILLA
MiddleName: HUI-MIN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11175 CAMPUS STREET COLEMAN PAVILION SUITE A1120
Address2:  
City: LOMA LINDA
State: CA
PostalCode: 923502804
CountryCode: US
TelephoneNumber: 9095588242
FaxNumber:  
Practice Location
Address1: 11234 ANDERSON ST
Address2: GME OFFICE CSP 21005
City: LOMA LINDA
State: CA
PostalCode: 923542804
CountryCode: US
TelephoneNumber: 9095588242
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2012
LastUpdateDate: 02/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402XA127507CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


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