Organization
DELPHINE J. LEE MD PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELPHINE LEE MD (OWNER)
(310) 449-5265
Entity
Organization
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 449-5265
(310) 449-5273
Mailing address
2200 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2302
(310) 449-5265
(310) 449-5273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A80992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A80992
LICENSE
CA
Enumeration date
02/14/2012
Last updated
05/04/2012
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