# JOHN J LEE MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1780040840
- **Authorized official:** MR. TAYYAB WASEEM (CREDENTIALLING MANAGER)
- **Authorized official phone:** (760) 565-3554

## Contact information

- **Practice address:** 35400 BOB HOPE DR STE 103&104, RANCHO MIRAGE, CA 92270-1708
- **Practice address phone:** (760) 875-2116
- **Practice address fax:** (760) 266-6184
- **Mailing address:** 35400 BOB HOPE DR STE 103, RANCHO MIRAGE, CA 92270-1772
- **Mailing address phone:** (760) 875-2116
- **Mailing address fax:** (760) 266-6184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2016
- **Last updated:** 07/24/2026