Individual
DR. MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7345 MEDICAL CENTER DR, SUITE #280, WEST HILLS, CA 91307-1937
(818) 888-2855
(818) 888-0702
Mailing address
7345 MEDICAL CENTER DR, SUITE #280, WEST HILLS, CA 91307-1937
(818) 888-2855
(818) 888-0702
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G065065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A253110
—
CA
01
—
55 W10980
MEDICARE PROVIDER #
CA
01
—
G065065
CA MEDICAL LICENSE
CA
01
—
Y5394
MEDICARE SUPPLIER
CA
Enumeration date
12/22/2005
Last updated
05/11/2023
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