Individual
GARY CHEUKMAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. , PH.D.
Contact information
Practice address
4980 BARRANCA PKWY STE 202, IRVINE, CA 92604-8653
(949) 733-1336
(949) 733-3387
Mailing address
4980 BARRANCA PKWY STE 202, IRVINE, CA 92604-8653
(949) 733-1336
(949) 733-3387
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A055074
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A055074
CA
207NS0135X
Procedural Dermatology Physician
A055074
CA
Other
Enumeration date
03/30/2007
Last updated
03/19/2020
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