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Organization
MDIETICIAN INC
Active
Organization
MDIETICIAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TSZ YING LEE MD (CEO)
(213) 415-1990
Entity
Organization
Contact information
Practice address
7100 HAYVENHURST AVE STE 204, VAN NUYS, CA 91406-3804
(213) 415-1990
(213) 415-1940
Mailing address
7100 HAYVENHURST AVE STE 204, VAN NUYS, CA 91406-3804
(213) 415-1990
(213) 415-1940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A99205
CA
Other
Enumeration date
11/11/2010
Last updated
09/12/2018
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