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Organization
SIMON LEE, MD, A PROFESSIONAL CORPORATION
Active
Organization
SIMON LEE, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON KWANMIN LEE M.D. (PRESIDENT)
(650) 692-1388
Entity
Organization
Contact information
Practice address
1828 EL CAMINO REAL, SUITE 406, BURLINGAME, CA 94010-3103
(650) 692-1388
(650) 692-1380
Mailing address
1828 EL CAMINO REAL, SUITE 406, BURLINGAME, CA 94010-3103
(650) 692-1388
(650) 692-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G83169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G831691
—
CA
Enumeration date
07/28/2006
Last updated
08/22/2020
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