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Individual

JOSHUA LEE

Active
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Individual

JOSHUA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036139843
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A829870
CA
01
1902846306
GROUP NPI
CA
01
GR0100430
GROUP MEDI-CAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
10/02/2006
Last updated
11/03/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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