Provider Demographics
NPI:1962585828
Name:GEE, BRIAN MING (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MING
Last Name:GEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 N PROSPECT AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3041
Mailing Address - Country:US
Mailing Address - Phone:310-376-8816
Mailing Address - Fax:310-374-2806
Practice Address - Street 1:520 N PROSPECT AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3041
Practice Address - Country:US
Practice Address - Phone:310-376-8816
Practice Address - Fax:310-374-2806
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A643510Medicaid
CA00A643510Medicaid
CAA64351Medicare ID - Type Unspecified