# KAO YANG LEE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871823237
- **Gender:** F
- **Credential:** NP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA20648 | CA | — |
| 363L00000X | Nurse Practitioner | 20882 | CA | Yes |
| 363L00000X | Nurse Practitioner | NP20882 | CA | — |

## Other

- **Enumeration date:** 01/07/2010
- **Last updated:** 06/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | EFF 8/12/13-MACK RD | — | CA |
| 05 | — | EFF: 8/5/13 MARYSVIL | — | CA |
| 05 | — | EFF:8/5/13 55TH ST | — | CA |
| 05 | — | EFF:8/5/13 C HEIGHTS | — | CA |
| 05 | — | EFF:8/5/13 NORWOOD | — | CA |
| 01 | — | P01284201/DS9933 | RAILROAD MEDICARE-MACK RD. | CA |
| 01 | — | P01453291-DV5277 | RAILROAD MEDICARE | CA |