Individual
DR. JIMMY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
624 W DUARTE RD STE 105, ARCADIA, CA 91007-9256
(626) 446-1740
(626) 446-6287
Mailing address
624 W DUARTE RD STE 105, ARCADIA, CA 91007-9256
(626) 446-1740
(626) 446-6287
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4821080001
NORIDIAN DME SUPP ID#
CA
01
—
P00299462
PALMETTO GBA
CA
Enumeration date
06/30/2006
Last updated
02/27/2020
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