# GARY C. LEE,PH.D,M.D.INC

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

## Provider details

- **NPI number:** 1659568723
- **Authorized official:** DR. GARY CHEUKMAN LEE PH.D,M.D. (PRESIDENT)
- **Authorized official phone:** (949) 733-1336

## Contact information

- **Practice address:** 33 CREEK RD, SUITE C380, IRVINE, CA 92604-4791
- **Practice address phone:** (949) 733-1336
- **Practice address fax:** (949) 733-3387
- **Mailing address:** 33 CREEK RD, SUITE C380, IRVINE, CA 92604-4791
- **Mailing address phone:** (949) 733-1336
- **Mailing address fax:** (949) 733-3387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A055074 | CA | Yes |

## Other

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