Organization
GREEN CROSS MEDICAL SURGICAL INC
Active
Other names
PHILIP H LEE, DO, PHILIP H. LEE, Philip H. Lee, DO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT R LEE (OA)
(818) 314-6514
Entity
Organization
Contact information
Practice address
7136 HASKELL AVE STE 205, VAN NUYS, CA 91406-4112
(818) 908-4086
Mailing address
7136 HASKELL AVE STE 205, VAN NUYS, CA 91406-4112
(818) 908-4086
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003311713
ORGANIZATION
CA
Enumeration date
03/26/2018
Last updated
06/14/2019
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