# CHANG LEE MD INC

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

## Provider details

- **NPI number:** 1720234701
- **Authorized official:** DR. CHANG LI LEE MD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (909) 475-5200

## Contact information

- **Practice address:** 399 E HIGHLAND AVE STE 223, SAN BERNARDINO, CA 92404-3864
- **Practice address phone:** (909) 475-5200
- **Practice address fax:** (909) 247-3219
- **Mailing address:** 399 E HIGHLAND AVE STE 223, SAN BERNARDINO, CA 92404-3864
- **Mailing address phone:** (909) 475-5200
- **Mailing address fax:** (909) 247-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A99010 | CA | Yes |

## Other

- **Enumeration date:** 08/11/2008
- **Last updated:** 10/23/2014