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Individual

BRENDAN J LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 644-4401
Mailing address
PO BOX 12170, WESTMINSTER, CA 92685-2170
(877) 818-6102

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A5957
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX59570
CA
Enumeration date
06/27/2006
Last updated
05/21/2008
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