Individual
DIANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2226 N STATE COLLEGE BLVD, FULLERTON, CA 92831-1361
(657) 286-5375
Mailing address
2271 W MALVERN AVE # 85, FULLERTON, CA 92833-2106
(657) 286-5375
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A151310
CA
207W00000X
Ophthalmology Physician
MD473433
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2016
Last updated
05/03/2023
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