# SINGH A. BOUN, MD & NICK LEE, MD, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Singh A. Boun, MD, A Professional Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144363995
- **Authorized official:** DR. SINGH AHN BOUN MD (PRESIDENT)
- **Authorized official phone:** (626) 280-5000

## Contact information

- **Practice address:** 210 N GARFIELD AVE, SUITE \#201, MONTEREY PARK, CA 91754-1746
- **Practice address phone:** (626) 280-5000
- **Practice address fax:** (626) 280-5100
- **Mailing address:** 210 N GARFIELD AVE, SUITE \#201, MONTEREY PARK, CA 91754-1746
- **Mailing address phone:** (626) 280-5000
- **Mailing address fax:** (626) 280-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A79658 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A796580 | — | CA |
| 05 | — | 00A796581 | — | CA |