Individual
DAVID LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7164 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 787-8030
Mailing address
7164 MAGNOLIA AVE, RIVERSIDE, CA 92504-3804
(951) 787-8030
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A30545
CA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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