# MICHAEL M LEE D O INC

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

## Provider details

- **NPI number:** 1912553140
- **Authorized official:** DR. MICHAEL M LEE DO (PRESIDENT)
- **Authorized official phone:** (530) 212-0002

## Contact information

- **Practice address:** 5353 G ST, CHINO, CA 91710-5250
- **Practice address phone:** (909) 590-3700
- **Mailing address:** 16155 SIERRA LAKES PKWY \#160, UNIT 740, FONTANA, CA 92336
- **Mailing address phone:** (530) 212-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 04/18/2023