Individual
DR. SUSAN J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.D.
Contact information
Practice address
18372 CLARK ST, SUITE 224, TARZANA, CA 91356-3508
(818) 996-1200
(818) 996-1325
Mailing address
18372 CLARK ST, SUITE 224, TARZANA, CA 91356-3508
(818) 996-1200
(818) 996-1325
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A94671
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A94671
CA
Other
Enumeration date
12/13/2006
Last updated
09/11/2025
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