Organization
HANSON T LEE MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANSON TSUNG-HAN LEE M.D. (PRESIDENT)
(626) 821-2076
Entity
Organization
Contact information
Practice address
612 W DUARTE RD, SUITE 502, ARCADIA, CA 91007-7602
(626) 821-2076
(626) 821-0129
Mailing address
612 W DUARTE RD, SUITE 502, ARCADIA, CA 91007-7602
(626) 821-2076
(626) 821-0129
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A71457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714570
—
CA
01
—
DE5763
RAILROAD MEDICARE
CA
Enumeration date
09/20/2006
Last updated
08/22/2020
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