# JUSTIN THIEN LEE, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Justin Thien Lee, MD INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487140869
- **Authorized official:** JUSTIN THIEN LEE MD (PRESIDENT)
- **Authorized official phone:** (573) 356-6998

## Contact information

- **Practice address:** 500 OLD RIVER RD STE 200, BAKERSFIELD, CA 93311-9505
- **Practice address phone:** (661) 663-6429
- **Practice address fax:** (661) 663-6041
- **Mailing address:** 14182 S CANYON VINE CV, DRAPER, UT 84020-5636
- **Mailing address phone:** (573) 356-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A95245 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2018
- **Last updated:** 07/09/2018