Basic Information
| Provider Information | |||||||||
| NPI: | 1710058698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEE | ||||||||
| FirstName: | JOEY | ||||||||
| MiddleName: | ROBERT | ||||||||
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| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26800 CROWN VALLEY PKWY STE 385 | ||||||||
| Address2: | |||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926917320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495428002 | ||||||||
| FaxNumber: | 9495427337 | ||||||||
| Practice Location | |||||||||
| Address1: | 26800 CROWN VALLEY PKWY STE 385 | ||||||||
| Address2: | |||||||||
| City: | MISSION VIEJO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926917320 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9495428002 | ||||||||
| FaxNumber: | 9495427337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 11/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 20A7576 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
ID Information
| ID | Type | State | Issuer | Description | 00AX75760 | 05 | CA | MEDICAID |