# CALIFORNIA CARDIOTHORACIC ASSOCIATES MEDICAL GRP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396858122
- **Authorized official:** DR. ANTHONY WONG LEE MD (GENERAL PARTNER)
- **Authorized official phone:** (310) 603-6562

## Contact information

- **Practice address:** 3630 E IMPERIAL HWY, SUITE 2101, LYNWOOD, CA 90262-2636
- **Practice address phone:** (310) 826-2073
- **Practice address fax:** (310) 826-9353
- **Mailing address:** 11500 SAN VICENTE BLVD, SUITE 409, LOS ANGELES, CA 90049-6218
- **Mailing address phone:** (310) 826-2073
- **Mailing address fax:** (310) 826-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | CA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 10/13/2009